Kelly, Joseph T.
Kelly, Joseph T. is an individual health care provider with primary practice located at 103 W Grove St , Clarks Summit PA 18411-2062. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is his primary health care specialty. Kelly, Joseph T. can be contacted via phone (570) 587-4787.Contact Information
Primary practice address
103 W Grove St
Clarks Summit PA 18411-2062
Phone: (570) 587-4787
Fax: (570) 586-2375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS028710L | Pennsylvania |
| Dental Providers / Periodontics | 1223P0300X | DS028710L | Pennsylvania |
| Dental Providers / Prosthodontics | 1223P0700X | DS028710L | Pennsylvania |
Profile Details
| NPI number | 1528400140 |
|---|---|
| LBN Legal business name | Kelly, Joseph T. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2013 |
| Last updated | Jul 24th, 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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