Kelly, Michael

Kelly, Michael is an individual health care provider with primary practice located at 561 Saybrook Rd , Middletown CT 06457-4791. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Kelly, Michael can be contacted via phone (860) 346-9259.

Contact Information

Primary practice address
561 Saybrook Rd Middletown CT 06457-4791
Phone: (860) 346-9259
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 11137 Connecticut

Profile Details

NPI number 1841617933
LBN Legal business name Kelly, Michael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2014
Last updated Jun 13th, 2020 - about 5 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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