JAMES M KELLY, DDS PLLC


Address: 2999 N 44th St Ste 640, Phoenix, AZ 85018-7253
Phone: 6029541901

JAMES M KELLY, DDS PLLC (NPI# 1649740994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649740994
Entity Type Organization
Organization Name JAMES M KELLY, DDS PLLC
Practice Address 2999 N 44th St Ste 640
Phoenix
AZ 85018-7253
Practice Telephone 6029541901
Mailing Telephone 6029541901
Enumeration Date 2018-11-29
Last Update Date 2018-11-29
Authorized Official Name MISS SHERRIE LYNN KELLY (OWNER)
Authorized Official Telephone 6029541901
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Office Location

Street Address 2999 N 44TH ST STE 640
City PHOENIX
State AZ
Zip Code 85018-7253

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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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1992362891 Lemon Tree Dentistry LLC Clinic/Center 1985 W Happy Valley Rd Ste 115, Phoenix, AZ 85085-2888 2019-05-26
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Competitor

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City PHOENIX
Zip Code 85018

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Dataset Information

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.

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