Kelly, Steven Michael

Kelly, Steven Michael is an individual health care provider with primary practice located at 322 Dental Science Bldg S , Iowa City IA 52242-1001. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Kelly, Steven Michael can be contacted via phone (319) 335-7440.

Contact Information

Primary practice address
322 Dental Science Bldg S Iowa City IA 52242-1001
Phone: (319) 335-7440
Fax: (319) 335-7451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 07346 Iowa

Profile Details

NPI number 1821178377
LBN Legal business name Kelly, Steven Michael
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Oct 27th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821178377 NPPES
Iowa MEDICAID 0067017

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