MICHAEL KELLY


Address: 561 Saybrook Rd, Middletown, CT 06457-4791
Phone: 8603469259

MICHAEL KELLY (NPI# 1841617933) 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) 1841617933
Entity Type Individual
Full Name MICHAEL KELLY
Credential DMD
Practice Address 561 Saybrook Rd
Middletown
CT 06457-4791
Practice Telephone 8603469259
Enumeration Date 2014-03-26
Last Update Date 2020-06-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
11137 CT Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
26 Shunpike Rd, Cromwell, CT 064162442 8603469259

Other Providers MICHAEL KELLY

NPI Name Taxonomy Address Enumeration
1699389874 Michael Kelly Physical Therapist 1025 Service Pl Ste 200, Vista, CA 92084-7271 2020-09-03
1871949115 Michael John Kelly Speech-Language Pathologist 3484 Fair Oaks Ave, Bowling Green, KY 42104-5529 2016-05-05
1003206004 Michael Sean Kelly Nurse Practitioner 17601 17th St Ste 120, Tustin, CA 92780-1946 2015-01-28
1295135515 Michael Kelly Technician, Other 2215 E 36 1/2 St, Minneapolis, MN 55407-3018 2014-08-25
1225310675 Michael Thomas Kelly Pathology 4156 H Street Rd, Blaine, WA 98230-9228 2011-09-12
1205085073 Michael H Kelly Massage Therapist 76 Bosse Ln, West Seneca, NY 14224-1624 2008-09-16
1275780041 Michael Foster Kelly Acupuncturist 8 Wells Ave, Yonkers, NY 10701-2710 2008-08-25
1346458031 Michael Francis Kelly Registered Nurse 79 Trausneck Pl, Yonkers, NY 10703-1907 2007-05-18
1104045707 Michael Walter Kelly Pharmacist College of Pharmacy, 110 Pharmacy Building, Iowa City, IA 52242-1112 2007-04-24
1710105358 Michael Kelly Physical Therapist 1600 E. Jefferson St., Seattle, WA 98122 2007-04-20

Office Location

Street Address 561 SAYBROOK RD
City MIDDLETOWN
State CT
Zip Code 06457-4791

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194730614 Jeffrey D. Bert, D.d.s., M.d.sc., P.C. Clinic/Center 561 Saybrook Rd, Middletown, CT 06457-4718 2006-07-31
1215345145 Jeffrey Bert Dentist 561 Saybrook Rd, Middletown, CT 06457-4791 2014-07-23
1134554165 Gillian R. Kelly Dentist 561 Saybrook Rd, Middletown, CT 06457-4791 2013-09-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699391961 Meghan Harrington Behavior Technician 101 Centerpoint Drive #243, Middletown, CT 06457 2020-06-22
1427619626 Collaborative Aba Services, LLC Behavioral Analyst 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 2019-06-27
1376100339 Kimberly Tynik Pharmacist 451 Fowler Ave, Middletown, CT 06457 2019-05-24
1184101263 Tabrez Adil Dentist 675 Main St., Middletown, CT 06457 2018-07-23
1326535337 Rehan Khan Non-emergency Medical Transport (VAN) 765 Country Club Rd, Middletown, CT 06457 2018-04-16
1366950206 State of Connecticut Psychiatric Hospital 70 O'brien Drive, Middletown, CT 06457 2018-01-12
1902324536 Cynthia Tine Physical Therapy Assistant 628 Congdon Street, Middletown, CT 06457 2017-09-04
1619494390 Nathan Douglas Roy Specialist/Technologist 431 Briarwood Lane, Middletown, CT 06457 2017-08-24
1598286502 Rachel Hoffman Whelen Registered Nurse 420 Saybrook Road, Suite A, Middletown, CT 06457 2017-06-29
1003358326 Rebecca Rotondo Social Worker 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 2016-11-17
Find all providers in zip 06457

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972620359 Skrobola & Schlosser Dds PC Dentist 180 Wisner Ave, Middletown, NY 10940-3221 2007-03-23
1306990700 James L Hurst Dentist 137 West Main Rd, Middletown, RI 02842 2007-01-22
1740333145 James S Rozes Dentist 1171 Aquidneck Ave, Middletown, RI 02842-5255 2007-01-19
1831295567 Haesin S Jung Dentist 465 East Main St, Middletown, NY 10940 2006-09-16
1417050733 William D Engilman Dentist 134 N Evergreen Rd, Suite 101, Middletown, KY 40243-1487 2006-09-06
1598732927 Jeffrey J Kim Dentist 400 Midway Park Drive, Middletown, NY 10940 2006-03-03
1922551712 Michael Skrobola IIi Dentist 180 Wisner Ave, Middletown, NY 10940 2016-07-27
1639579576 Jonathan Schlosser Dentist 180 Wisner Ave, Middletown, NY 10940-3221 2014-08-28
1386043479 Michael Skrobola Dentist 180 Wisner Ave, Middletown, NY 10940-3221 2014-08-14
1215345145 Jeffrey Bert Dentist 561 Saybrook Rd, Middletown, CT 06457-4791 2014-07-23
Find all providers in MIDDLETOWN

Competitor

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City MIDDLETOWN
Zip Code 06457

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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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