Kelly And Kelly
LBN: Roy William Kelly Jr Dds Pa
Kelly And Kelly is an health care organization with primary practice located at 1601C East Garrison Blvd , Gastonia NC 28054. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is the primary health care specialty.
Roy William Kelly Jr Dds Pa can be contacted via phone (704) 867-1671, or through Kelly, R William via phone (704) 867-1671.
Contact Information
Primary practice address
1601C East Garrison Blvd
Gastonia NC 28054
Phone: (704) 867-1671
Fax:
Website:
Authorized official contact:
Name: Kelly, R William Doctor of Dental Surgery (DDS)
Phone: (704) 867-1671
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3944 | North Carolina |
| Dental Providers / General Practice | 1223G0001X | 3944 | North Carolina |
Profile Details
| NPI number | 1942391370 |
|---|---|
| LBN Legal business name | Roy William Kelly Jr Dds Pa |
| DBA Doing business as | Kelly And Kelly |
| Authorized official | Kelly, R William Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Aug 11th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942391370 | NPPES |
| North Carolina | MEDICAID | 8994825 |
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