DR. JOSEPH T. KELLY JR. (NPI# 1528400140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528400140 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH T. KELLY JR. |
| Credential | D.M.D. |
| Practice Address |
103 W Grove St Clarks Summit PA 18411-2062 |
| Practice Telephone | 5705874787 |
| Practice Fax Number | 5705862375 |
| Mailing Telephone | 5705874787 |
| Mailing Fax Number | 5705862375 |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS028710L | PA | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
DS028710L | PA | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DS028710L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356808786 | Joseph Lee Kelly | Counselor | 900 Old Combee Rd Lot 86, Lakeland, FL 33805-9508 | 2019-02-21 |
| 1881042943 | Joseph Daniel Kelly Jr. | Optometrist | 110 Glancy St Ste 208, Goodlettsville, TN 37072-2313 | 2016-05-31 |
| 1609240639 | Joseph Kelly | Counselor | 215 Sugartown Rd., Wayne, PA 19087 | 2015-11-13 |
| 1275924409 | Joseph Louis Kelly | Contractor | 634 Roosevelt Rd, Kohler, WI 53044-1618 | 2015-02-10 |
| 1356740328 | Joseph Kelly | Dentist | 1008 Nw 59th St., Vancouver, WA 98663 | 2014-08-15 |
| 1770840324 | Joseph A Kelly | Family Medicine | 27 Park Ln E, #2, Albany, NY 12204-1960 | 2012-04-20 |
| 1083756860 | Joseph Patrick Kelly | Dentist | 89574 545 Ave, Crofton, NE 68730-3238 | 2007-02-12 |
| 1093871717 | Joseph B Kelly | Counselor | 3600 Veterans Dr, Suite 3, Traverse City, MI 49684-4582 | 2006-12-28 |
| 1235210980 | Joseph Craig Kelly | Dentist | 3675 Hendricks Ave, Jacksonville, FL 32207-5360 | 2006-10-18 |
| 1942318555 | Joseph C Kelly Jr. | Dentist | 2205 Silverside Road, Wilmington, DE 19810 | 2006-08-25 |
| Street Address |
103 W GROVE ST |
| City | CLARKS SUMMIT |
| State | PA |
| Zip Code | 18411-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306909833 | Joseph Thomas Majeski | Dermatology | 103 W Grove St, Clarks Summit, PA 18411-2019 | 2006-12-18 |
| 1972945509 | Joseph T. Kelly Sr. | Dentist | 103 W Grove St, Clarks Summit, PA 18411-2062 | 2013-07-24 |
| 1508920398 | Ted Michael Stampien | Dermatology | 103 W Grove St, Clarks Summit, PA 18411-2019 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881228153 | Hayley Nicole Zelinka | Physical Therapist | 1000 Edella Road, South Abington, PA 18411 | 2020-02-26 |
| 1023657269 | Erica Lynn Bednarz | Physical Therapist | 1001 Scenic Drive, Clarks Summit, PA 18411 | 2020-01-06 |
| 1386298842 | Gj-mac Enterprises LLC | In Home Supportive Care | 506 N State Street, Clarks Summit, PA 18411 | 2019-08-01 |
| 1609392117 | Colleen Marie Dougherty | Nurse Practitioner | 1145 Northern Boulevard, South Abington, PA 18411 | 2017-08-16 |
| 1629438312 | Christopher Oyede | Psychiatry & Neurology | 1508 Applewood Acres, South Abington, Clarks Summit, PA 18411 | 2016-02-24 |
| 1194107326 | Russell Zapko | Physical Medicine & Rehabilitation | 100 Edella Road, South Abington, PA 18411 | 2015-06-24 |
| 1952719619 | Geisinger Clinic | Family Medicine | 790 North Blvd, Suite K, Clarks Summit, PA 18411 | 2014-07-25 |
| 1437428182 | Gloria Marie Gigliotti | Behavioral Analyst | 718 South State Street, Caregivers of America, Clsarks Summit, PA 18411 | 2011-12-27 |
| 1790064137 | John D Cacciamani | Internal Medicine | 1345 Glenview Rd., Clarks Summit, PA 18411 | 2011-08-16 |
| 1235372418 | Five Star Quality Care-ghv, LLC | Assisted Living Facility | 950 Morgan Highway, Clarks Summit, PA 18411 | 2009-04-17 |
| Find all providers in zip 18411 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669039442 | Maryam A Chiani, Dmd, LLC | Dentist | 520 Washington Rd Ste 100, Pittsburgh, PA 15228-2814 | 2019-05-28 |
| 1518479450 | Hyemi Kim | Dentist | 1096 W Bridge St, Phoenixville, PA 19460-4905 | 2017-11-01 |
| 1801344023 | Atousa Azarbal | Dentist | 2078 Salk Anx, 3501 Terrace Street, Pittsburgh, PA 15261-0001 | 2016-09-16 |
| 1730536145 | Robert Slauch | Dentist | 467 Pennsylvania Ave Ste 201, Fort Washington, PA 19034 | 2016-05-16 |
| 1609263326 | Rodney Wilson | Dentist | 2275 Swallow Hill Rd Bldg 2400, Pittsburgh, PA 15220-1676 | 2015-04-21 |
| 1083044804 | Arlene Ruth Kubit | Dentist | 3703 Old French Rd, Erie, PA 16504-1629 | 2013-11-14 |
| 1164782173 | Jamie M. Yum | Dentist | 1251 S Cedar Crest Blvd Ste 306, Allentown, PA 18103-6253 | 2012-05-23 |
| 1003116575 | Steve James Kukunas | Dentist | 3500 Fifth Avenue, Suite 301, Pittsburgh, PA 15213 | 2010-10-29 |
| 1639486541 | Hai Qing | Dentist | 1250 Greenwood Ave Ste 10, Jenkintown, PA 19046-2900 | 2010-09-13 |
| 1831426196 | David J. Fox, D.m.d., P.C. | Dentist | 2401 Pennsylvania Ave Ste 1a8, Philadelphia, PA 19130-3002 | 2009-11-06 |
| Find all providers with the same taxonomy | ||||
| City | CLARKS SUMMIT |
| Zip Code | 18411 |
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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.