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:
Health care specialties
| Specialty | Code | License # | 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 12 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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