Kelly, Samantha Jo

Kelly, Samantha Jo is an sole proprietor health care provider with primary practice located at 1710 Nashville Pike # 102 , Gallatin TN 37066. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Kelly, Samantha Jo can be contacted via phone (615) 461-7491.

Contact Information

Primary practice address
1710 Nashville Pike # 102 Gallatin TN 37066
Phone: (615) 461-7491
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X LDR170183 Indiana
Dental Providers / Pediatric Dentistry 1223P0221X 10949 Tennessee

Profile Details

NPI number 1255852661
LBN Legal business name Kelly, Samantha Jo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2017
Last updated Jul 25th, 2019 - 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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