Kelley, Chelita Kaye

Kelley, Chelita Kaye is an individual health care provider with primary practice located at 1801 Rozzelles Ferry Rd Pediatric Dentistry, Charlotte NC 28208-4228. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dental Public Health. Dental Providers / Dental Public Health is her primary health care specialty. Kelley, Chelita Kaye can be contacted via phone (704) 350-7305.

Contact Information

Primary practice address
1801 Rozzelles Ferry Rd Pediatric Dentistry Charlotte NC 28208-4228
Phone: (704) 350-7305
Fax: (704) 350-7304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7311 North Carolina
Dental Providers / Dental Public Health 1223D0001X 7311 North Carolina

Profile Details

NPI number 1962549758
LBN Legal business name Kelley, Chelita Kaye
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Apr 16th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962549758 NPPES
North Carolina MEDICAID 5905875

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