Kelley, Michael Gaylor
Kelley, Michael Gaylor is an individual health care provider with primary practice located at 6296 Rucker Rd Ste A, Indianapolis IN 46220-4852. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Kelley, Michael Gaylor can be contacted via phone (317) 253-5400.Contact Information
Primary practice address
6296 Rucker Rd Ste A
Indianapolis IN 46220-4852
Phone: (317) 253-5400
Fax: (317) 254-9156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 12007484A | Indiana |
Profile Details
| NPI number | 1316053770 |
|---|---|
| LBN Legal business name | Kelley, Michael Gaylor |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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