DR. PAUL JOHN KELLY (NPI# 1447202148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447202148 |
| Entity Type | Individual |
| Full Name | DR. PAUL JOHN KELLY |
| Credential | DDS, MS |
| Practice Address |
726 N Greenfield Rd Suite 117 Gilbert AZ 85234-5061 |
| Mailing Address |
726 N Greenfield Rd Suite #117 Gilbert AZ 85234-5061 |
| Practice Telephone | 4806859696 |
| Practice Fax Number | 4803783565 |
| Mailing Telephone | 4806859696 |
| Mailing Fax Number | 4803783565 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D6913 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DENTAL LICENSE | D6913 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417366105 | Paul Kelly | Counselor | 1 Railroad Ave, Closter, NJ 07624-1240 | 2014-08-06 |
| 1457782658 | Paul Kelly | Counselor | 481 8th Avenue, Suite 520, New York Pathways, New York, NY 10001 | 2013-12-13 |
| 1164790960 | Paul A Kelly Sr. | Counselor | 3071 South Donouvan Street, Wasilla, AK 99654 | 2011-12-07 |
| 1609071836 | Paul D. Kelly | Chiropractor | 932 N Mitchell St, Suite 6, Cadillac, MI 49601-1285 | 2007-06-18 |
| 1316079924 | Paul Owen Kelly | Internal Medicine | 4713 State Rd, Drexel Hill, PA 19026-4727 | 2007-03-09 |
| 1629112685 | Paul Anthony Kelly | Acupuncturist | 152 Tamarack Cir, Skillman, NJ 08558-2021 | 2007-02-16 |
| 1831253533 | Paul Colin Kelly | Physical Therapist | 113 E 23rd St, New York, NY 10010-4507 | 2006-12-20 |
| 1841352895 | Paul Edward Kelly | Counselor | 3698 Seabass Rd, Decatur, GA 30034-6954 | 2006-12-15 |
| 1538230255 | Paul David Kelly | Pharmacist | 270 Lafayette Rd, Seabrook, NH 03874-4542 | 2006-11-13 |
| 1548297930 | Paul F Kelly | Internal Medicine | 56 Franklin St., 3rd Floor, Waterbury, CT 06706-1253 | 2006-06-28 |
| Street Address |
726 N GREENFIELD RD SUITE 117 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-5061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831177500 | Dean R Gambino | Otolaryngology | 726 N Greenfield Rd, Suite 101, Gilbert, AZ 85234-5061 | 2006-01-04 |
| 1467986984 | Orthopedic Emergency Services, LLC | Orthopaedic Surgery | 726 N Greenfield Rd, Suite 108, Gilbert, AZ 85234-5061 | 2017-04-12 |
| 1316324031 | Paul Kelly Maxillofacial PC | Dentist | 726 N Greenfield Rd, Suite #117, Gilbert, AZ 85234-5061 | 2015-05-01 |
| 1588002588 | Johnson & Larsen Family Dentistry | Dentist | 726 N Greenfield Rd, Ste 126, Gilbert, AZ 85234-5061 | 2013-06-12 |
| 1639409196 | Erik Preston Witbeck | Audiologist | 726 N Greenfield Rd, Ste. 101, Gilbert, AZ 85234-5061 | 2010-01-06 |
| 1619147469 | Ali Ghazanfari Md Pllc | Surgery | 726 N Greenfield Rd, Suite 105, Gilbert, AZ 85234-5061 | 2008-03-07 |
| 1528261732 | Ali Ghazanfari | Surgery | 726 N Greenfield Rd, Suite 105, Gilbert, AZ 85234 | 2007-06-06 |
| 1215084553 | Catherine Kapoor | Psychiatry & Neurology | 726 N Greenfield Rd, Suite 110, Gilbert, AZ 85234-5012 | 2007-01-05 |
| 1801943543 | Neurological Physicians of Ariz Inc | Psychiatry & Neurology | 726 N Greenfield Rd, Suite 110, Gilbert, AZ 85234-5012 | 2007-01-04 |
| 1831246503 | Jeffrey Lee Shy | Psychiatry & Neurology | 726 N Greenfield Rd, Suite 110, Gilbert, AZ 85234-5012 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1952578411 | David Andrew Benson | Dentist | 2680 S Val Vista Dr Ste 164, Gilbert, AZ 85295-1638 | 2008-05-14 |
| 1013192913 | Spencer G Wilson Dds PC | Dentist | 1355 S Higley Rd Ste 106, Gilbert, AZ 85296-4799 | 2008-01-09 |
| 1790986099 | Peter Anderson Spanganberg | Dentist | 7400 S. Power Rd, Suite 136, Gilbert, AZ 85297 | 2007-05-31 |
| 1396883765 | Andrew Petersen | Dentist | 7400 S Power Rd Ste 136, Gilbert, AZ 85297-9284 | 2007-02-01 |
| 1790333672 | Benjamin Zuniga Dds LLC | Dentist | 33 N Lindsay Rd Ste 101, Gilbert, AZ 85234-5808 | 2019-09-03 |
| 1316324031 | Paul Kelly Maxillofacial PC | Dentist | 726 N Greenfield Rd, Suite #117, Gilbert, AZ 85234-5061 | 2015-05-01 |
| 1205063567 | Brett Wayne Barlow | Dentist | 3329 E Baseline Rd, Gilbert, AZ 85234-2633 | 2009-06-15 |
| 1700020146 | Donovan Hansen | Dentist | 3329 E Baseline Rd, Gilbert, AZ 85234-2633 | 2009-04-29 |
| 1962587394 | Brian A Lilien | Dentist | 2730 S Val Vista Dr, Suite 164, Gilbert, AZ 85295-1675 | 2006-10-25 |
| Find all providers in GILBERT | ||||
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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.