JOSEPH THOMAS KELLY (NPI# 1992122832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992122832 |
| Entity Type | Individual |
| Full Name | JOSEPH THOMAS KELLY |
| Credential | DDS |
| Practice Address |
1480 W Ashley Rd Boonville MO 65233-2141 |
| Practice Telephone | 6608827522 |
| Practice Fax Number | 6608829022 |
| Mailing Telephone | 6608827522 |
| Mailing Fax Number | 6608829022 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2014008013 | MO | Dental Providers |
| N | 122300000X | Dentist | 8345 | SC | 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 |
1480 W ASHLEY RD |
| City | BOONVILLE |
| State | MO |
| Zip Code | 65233-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811944929 | Virginia E. Dooley | Dentist | 1480 W Ashley Rd, Boonville, MO 65233-2141 | 2006-05-27 |
| 1952761819 | Joseph T Kelly, Dds PC | Dentist | 1480 W Ashley Rd, Boonville, MO 65233-2141 | 2016-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750788022 | Aneisa Lynn Sherrill-mattox | Social Worker | 413 E Spring Street, Boonville, MO 65233 | 2014-12-02 |
| 1427216555 | Boonville Residential LLC | Assisted Living Facility | 600 Rankin Mill Lane, Boonville, MO 65233 | 2008-05-27 |
| 1851593479 | Cooper County Ambulance District | Ambulance | 17651 B Highway, Boonville, MO 65233 | 2007-06-05 |
| 1538181409 | Dancing Horizon Health Foundation, Inc. | Family Medicine | 2400 Boonslick Drive, Boonville, MO 65233 | 2006-07-23 |
| 1588697965 | Dialysis Clinic Inc. | Clinic/Center | 600 Rankin Mill Ln, Boonville, MO 65233 | 2006-07-08 |
| 1295767275 | Boonville No 1 Inc | Skilled Nursing Facility | 1450 W Ashley Rd, Boonville, MO 65233 | 2006-07-07 |
| 1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
| 1710477187 | Ashlyn Elizabeth Sappington | Dental Hygienist | 1115 Main St, Boonville, MO 65233 | 2018-05-11 |
| 1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
| 1548480601 | Pinnacle Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 17651 B Hwy, Boonville, MO 65233 | 2007-04-30 |
| Find all providers in zip 65233 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992870570 | Richard L Sears Thomas N Caruso Dds PC | Dentist | 3 Schuyler St, Boonville, NY 13309 | 2006-11-21 |
| 1073687877 | James E Eash | Dentist | 911 Aigner Dr, Boonville, IN 47601 | 2006-11-20 |
| 1790889046 | Jeffrey P Kolb | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-09-08 |
| 1952761819 | Joseph T Kelly, Dds PC | Dentist | 1480 W Ashley Rd, Boonville, MO 65233-2141 | 2016-03-04 |
| 1306231717 | Nicholas J Wagner, Dds, LLC | Dentist | 800 Office Park Dr, Boonville, IN 47601-8601 | 2015-04-02 |
| 1023338480 | Nicholas Joseph Wagner | Dentist | 800 Office Park Dr, Boonville, IN 47601-8601 | 2010-06-09 |
| 1134253545 | Richard Louis Sears Jr. | Dentist | 3 Schuyler St, Boonville, NY 13309-1109 | 2007-03-15 |
| 1841324258 | Thomas Nicholas Caruso | Dentist | 3 Schuyler St, Boonville, NY 13309-1109 | 2007-03-15 |
| 1811021876 | Lisa Marie Sears | Dentist | 3 Schuyler St, Boonville, NY 13309-1109 | 2007-03-14 |
| 1780723981 | Toni Marie Mann | Dentist | 13500 Airport Rd, Boonville, CA 95415-9133 | 2007-02-05 |
| Find all providers in BOONVILLE | ||||
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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.