Kelly, Terry Michael
Kelly, Terry Michael is an sole proprietor health care provider with primary practice located at 10150 Highland Manor Dr Suite 145, Tampa FL 33610-9713. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Kelly, Terry Michael can be contacted via phone (813) 682-2401.Contact Information
Primary practice address
10150 Highland Manor Dr Suite 145
Tampa FL 33610-9713
Phone: (813) 682-2401
Fax: (813) 682-2402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | DN11407 | Florida |
Profile Details
| NPI number | 1750588059 |
|---|---|
| LBN Legal business name | Kelly, Terry Michael |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Jan 11th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750588059 | NPPES |
| Florida | Other | DN11407 | LICENSE |
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