Sardina Kelly, Marlene E
Sardina Kelly, Marlene E is an individual health care provider with primary practice located at 1500 N Kings Highway Suite 100A, Cherry Hill NJ 08034-2304. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Sardina Kelly, Marlene E can be contacted via phone (856) 795-0900.Contact Information
Primary practice address
1500 N Kings Highway Suite 100A
Cherry Hill NJ 08034-2304
Phone: (856) 795-0900
Fax: (856) 795-0994
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | D117730 | New Jersey |
Dental Providers / Dentist | 122300000X | DS028081L | Pennsylvania |
Profile Details
NPI number | 1649358920 |
---|---|
LBN Legal business name | Sardina Kelly, Marlene E |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2006 |
Last updated | Mar 3rd, 2023 - about last year |
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 | 1649358920 | NPPES |
Other | 582306 | UNITED CONCORDIA |
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