Delbert R Kelly Dds & Assoc

LBN: Delbert R Kelly Dds & Assoc
Delbert R Kelly Dds & Assoc is an health care organization with primary practice located at 1042 E 3Rd St Ste 201, Chattanooga TN 37403. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Delbert R Kelly Dds & Assoc can be contacted via phone (423) 265-0419, or through Kelly, Delbert R via phone (423) 265-0419.

Contact Information

Primary practice address
1042 E 3Rd St Ste 201 Chattanooga TN 37403
Phone: (423) 265-0419
Fax: (423) 265-3334
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Delbert R Doctor of Dental Surgery (DDS)
Phone: (423) 265-0419

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS4101 Tennessee

Profile Details

NPI number 1396726758
LBN Legal business name Delbert R Kelly Dds & Assoc
DBA Doing business as
Authorized official Kelly, Delbert R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396726758 NPPES
Tennessee MEDICAID 3225019

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