Kelly, Michael William
Kelly, Michael William is an sole proprietor health care provider with primary practice located at 79 Route 59 Ste 4 , Suffern NY 10901-4900. 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 William can be contacted via phone (845) 357-0200.Contact Information
Primary practice address
79 Route 59 Ste 4
Suffern NY 10901-4900
Phone: (845) 357-0200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 051619 | New York |
Profile Details
| NPI number | 1558085282 |
|---|---|
| LBN Legal business name | Kelly, Michael William |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2022 |
| Last updated | Sep 27th, 2022 - about 3 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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