Kelly, Sidney Dean
Kelly, Sidney Dean is an sole proprietor health care provider with primary practice located at 2360 Professional Dr # 100 , Roseville CA 95661-7745. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kelly, Sidney Dean can be contacted via phone (916) 782-9479.Contact Information
Primary practice address
2360 Professional Dr # 100
Roseville CA 95661-7745
Phone: (916) 782-9479
Fax: (916) 782-3342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 28463 | California |
Profile Details
| NPI number | 1144356916 |
|---|---|
| LBN Legal business name | Kelly, Sidney Dean |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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