KELLY DENTAL ARTS (NPI# 1578842951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578842951 |
| Entity Type | Organization |
| Organization Name | KELLY DENTAL ARTS |
| Practice Address |
277 White Horse Pike Suite 104 Atco NJ 08004-2275 |
| Practice Telephone | 8144048462 |
| Mailing Telephone | 8144048462 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |
| Authorized Official Name | DR. DAWN M POLI (MANAGING MEMBER) |
| Authorized Official Telephone | 8144048462 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI02260700 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI NUMBER OF DENTIST | 1013082189 | 01 | |
| INDIVIDUAL NPI NUMBER OF DENTIST | 1306076617 | 01 |
| Street Address |
277 WHITE HORSE PIKE SUITE 104 |
| City | ATCO |
| State | NJ |
| Zip Code | 08004-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861415366 | Elena K Wellens | Podiatrist | 277 White Horse Pike, Suite 101, Atco, NJ 08004 | 2006-07-25 |
| 1376075424 | Kathryn Stoedter Dpm LLC | Podiatrist | 277 White Horse Pike, Suite 101, Atco, NJ 08004-2275 | 2017-03-29 |
| 1215076237 | Comprehensive Foot & Ankle Center of South Jersey LLC | Podiatrist | 277 White Horse Pike, Suite 101, Atco, NJ 08004 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407374127 | Oaks Integrated Care | Clinic/Center | 1022 A Martha Blvd, Atco, NJ 08004 | 2017-09-01 |
| 1093266421 | Rasheeda Jones | Counselor | 226 Camden Avenue, Atco, NJ 08004 | 2016-10-20 |
| 1821478280 | Rashawn Smith | Counselor | 45 Pinehurst Dr, Atco, NJ 08004 | 2015-06-01 |
| 1326389024 | Winslow Township School District | Local Education Agency (LEA) | 40 Coopers Folly Rd, Atco, NJ 08004 | 2013-03-06 |
| 1326248352 | Fu Mei Medical Supply | Durable Medical Equipment & Medical Supplies | 437 Fourth St, Atco, NJ 08004 | 2007-07-18 |
| 1871641639 | Robert Cavallaro | Chiropractor | 459 Jackson Road, Atco, NJ 08004 | 2007-01-08 |
| 1831163237 | Robert F Mazzuca | Family Medicine | 501 Fifth St, Ste A, Atco, NJ 08004 | 2006-02-14 |
| 1124530993 | Arc of Camden County- Hayes Mill Road | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 141 Hayes Mill Road, Apt 213 D, Atco, NJ 08004 | 2017-11-01 |
| 1821338856 | Monica Garcia | Pharmacist | 375 White Horse Pike, Atco, NJ 08004 | 2013-02-28 |
| 1184943649 | Steven G Russell | Counselor | 620 Oak Knoll Rd, Atco, NJ 08004-1137 | 2010-05-24 |
| Find all providers in zip 08004 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225102718 | Carla A Mcgruder | Dentist | 357 White Horse Pike, Atco, NJ 08004-2228 | 2006-11-17 |
| 1952458036 | Paul Joseph Lawyer | Dentist | 311 White Horse Pike, Atco, NJ 08004-2230 | 2007-01-04 |
| 1902978810 | Atco Family Dentistry, Pa | Dentist | 311 White Horse Pike, Atco, NJ 08004-2230 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861750 | Columbia Dental of Elizabeth Pa | Dentist | 151 Jefferson Avenue, Elizabeth, NJ 07201 | 2020-11-04 |
| 1790385490 | Progressive Dental Group | Dentist | 246 N Franklin Tpke Ste 4, Ramsey, NJ 07446-1635 | 2020-10-30 |
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1811596307 | Kinjal J Mehta | Dentist | 151 Jefferson Ave, Elizabeth, NJ 07201-2490 | 2020-10-26 |
| 1093314668 | Chandan Venkatesh | Dentist | 193 Westgate Dr, Edison, NJ 08820-1164 | 2020-10-23 |
| 1326645664 | Amed Bientz Mendez | Dentist | 700 N Broad St Ste 101, Elizabeth, NJ 07208-2310 | 2020-10-08 |
| 1407463086 | Mina Youssef | Dentist | 821 Bergen Ave Apt B2, Jersey City, NJ 07306-4522 | 2020-09-28 |
| 1912518820 | Tyler Yim | Dentist | 44 Fairfield Dr, Short Hills, NJ 07078-1703 | 2020-08-13 |
| 1902416639 | Anna Lee | Dentist | 666 Plainsboro Rd Ste 408, Plainsboro, NJ 08536-3009 | 2020-08-06 |
| 1164032413 | Qurratulann Talat Khokhar | Dentist | 53 W 56th St, Bayonne, NJ 07002-4113 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
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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.