Hollis, Keli Rose

Hollis, Keli Rose is an individual health care provider with primary practice located at 1956 Old Dekalb Rd , Canton NY 13617-3134. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Hollis, Keli Rose can be contacted via phone (315) 386-2960.

Contact Information

Primary practice address
1956 Old Dekalb Rd Canton NY 13617-3134
Phone: (315) 386-2960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 054506 New York

Profile Details

NPI number 1487885505
LBN Legal business name Hollis, Keli Rose
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2009
Last updated Jan 4th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487885505 NPPES
New York MEDICAID 01995615

Popular Providers