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:
Health care specialties
Specialty | Code | License # | 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 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962549758 | NPPES |
North Carolina | MEDICAID | 5905875 |
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