Mckelroy, Jillian K

Mckelroy, Jillian K is an individual health care provider with primary practice located at 1303 Dr Martin L King Jr Ave , Mobile AL 36603-5341. She recently has 5 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is her primary health care specialty. Mckelroy, Jillian K can be contacted via phone (251) 432-4117.

Contact Information

Primary practice address
1303 Dr Martin L King Jr Ave Mobile AL 36603-5341
Phone: (251) 432-4117
Fax: (251) 964-4012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5672 Alabama
Dental Providers / General Practice 1223G0001X 5672 Alabama
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 5672 Alabama
Dental Providers / Pediatric Dentistry 1223P0221X 5672 Alabama
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 5672 Alabama

Profile Details

NPI number 1669602405
LBN Legal business name Mckelroy, Jillian K
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2009
Last updated Jul 30th, 2014 - 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 1669602405 NPPES
Alabama Other 5672 ALABAMA STATE LICENSE

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