Kelley, Nicholas

Kelley, Nicholas is an individual health care provider with primary practice located at 201 Lyons Ave , Newark NJ 07112-2027. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Kelley, Nicholas can be contacted via phone (609) 315-4324.

Contact Information

Primary practice address
201 Lyons Ave Newark NJ 07112-2027
Phone: (609) 315-4324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 060827 New York

Profile Details

NPI number 1629431960
LBN Legal business name Kelley, Nicholas
Credentials DMD, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2016
Last updated Oct 10th, 2019 - about 6 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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