DR. EDWARD M KELLY JR. (NPI# 1164616488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164616488 |
| Entity Type | Individual |
| Full Name | DR. EDWARD M KELLY JR. |
| Credential | DMD |
| Practice Address |
1726 W Jarrettsville Rd Jarrettsville MD 21804-1524 |
| Mailing Address |
Po Box 146 1726 W Jarrettsville Rd Jarrettsville MD 21804-1524 |
| Practice Telephone | 4105577766 |
| Practice Fax Number | 4105576012 |
| Mailing Telephone | 4105577766 |
| Mailing Fax Number | 4105576012 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11585 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417289927 | Edward Allen Kelly | General Practice | 315 Hillsboro St, Pittsboro, NC 27312-9313 | 2010-02-08 |
| 1235122300 | Edward A. Kelly Jr. | Family Medicine | 99 Manor Ave, Downingtown, PA 19335-2620 | 2005-08-24 |
| 1891344024 | Edward Robert Kelly | Specialist/Technologist | 512 N Campus, Ithaca, NY 14853-6007 | 2019-09-10 |
| 1679134910 | Edward Joseph Kelly Iv | Surgery | Musc Gme Office 169 Ashley Avenue Room 202 Muh Msc 33, Charleston, SC 29425-0001 | 2019-06-26 |
| 1326450073 | Edward M Kelly | Physical Therapy Assistant | 11039 Dugway Rd, Fillmore, NY 14735-8610 | 2014-05-29 |
| 1699015610 | Edward George Kelly | Orthopaedic Surgery | 212 9th St, Pittsburgh, PA 15222-3517 | 2013-02-28 |
| 1124315957 | Edward T Kelly Iv | Dentist | 114 Woodland St, Hartford, CT 06105-1208 | 2011-06-30 |
| 1083890503 | Edward Lawrence Kelly Jr. | Licensed Practical Nurse | 711 S Vine St, Glenwood, IA 51534-1927 | 2008-01-15 |
| 1609929074 | Edward James Kelly | Chiropractor | 231 W Patison St, Port Hadlock, WA 98339-9751 | 2007-01-19 |
| 1235146689 | Edward Kelly | Dentist | 5900 Spout Springs Rd, Ste U-21, Flowery Branch, GA 30542-6448 | 2006-08-01 |
| Street Address |
1726 W JARRETTSVILLE RD |
| City | JARRETTSVILLE |
| State | MD |
| Zip Code | 21804-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639418171 | Jeffrey Lewis Selznick | Dentist | 1818 Midsummer Ln, Jarrettsville, MD 21084-1200 | 2013-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918862 | Munder Omran Ben-omran | Dentist | 18535 Boysenberry Dr Apt 319, Gaithersburg, MD 20879-3690 | 2020-10-05 |
| 1982210423 | Kevin Wang | Dentist | 1057 W Perimeter Rd, Prince County, MD 20762 | 2020-09-21 |
| 1720692262 | Amanda Amaro | Dentist | 9408 Bruce Dr, Silver Spring, MD 20901-4812 | 2020-09-02 |
| 1790396927 | Kyle Westbrook | Dentist | 614 Eastern Shore Dr Ste D, Salisbury, MD 21804-5940 | 2020-08-12 |
| 1235749417 | Hanin Al-rubai | Dentist | 9936 Shelburne Ter Apt 101, Gaithersburg, MD 20878-5351 | 2020-08-03 |
| 1750999736 | Kyung Min Shin | Dentist | 11 S Eutaw St Apt 1609, Baltimore, MD 21201-1638 | 2020-07-16 |
| 1679181846 | Eric J Guida | Dentist | 832 Locust Dr, West River, MD 20778-9745 | 2020-07-14 |
| 1649897935 | Cory Kyser | Dentist | 1900 E Northern Pkwy Ste 103, Baltimore, MD 21239-2109 | 2020-07-02 |
| 1538786181 | Amstrong Njinguet | Dentist | 823 Booker Dr, Capitol Heights, MD 20743-1833 | 2020-06-30 |
| 1063038339 | Patrick Campbell | Dentist | 8300 Wisconsin Ave Apt 511, Bethesda, MD 20814-3194 | 2020-06-22 |
| Find all providers with the same taxonomy | ||||
| City | JARRETTSVILLE |
| Zip Code | 21804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.