Kelly, W David

Kelly, W David is an sole proprietor health care provider with primary practice located at 59 Quinsigamond Ave , Worcester MA 01610-1867. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kelly, W David can be contacted via phone (508) 799-2550.

Contact Information

Primary practice address
59 Quinsigamond Ave Worcester MA 01610-1867
Phone: (508) 799-2550
Fax: (508) 756-2923
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 12222 Massachusetts

Profile Details

NPI number 1326041385
LBN Legal business name Kelly, W David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Feb 17th, 2012 - about 13 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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