Kelley, John M
Kelley, John M is an individual health care provider with primary practice located at 1533 Merrimac Cir Suite 207, Fort Worth TX 76107-6571. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Kelley, John M can be contacted via phone (817) 338-0771.Contact Information
Primary practice address
1533 Merrimac Cir Suite 207
Fort Worth TX 76107-6571
Phone: (817) 338-0771
Fax: (817) 332-8072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | TX19132 | Texas |
Profile Details
| NPI number | 1437378965 |
|---|---|
| LBN Legal business name | Kelley, John M |
| Credentials | JOHN KELLEY, DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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