Timothy M. Kelly, Dmd, Pa

LBN: Timothy M. Kelly, Dmd, Pa
Timothy M. Kelly, Dmd, Pa is an health care organization with primary practice located at 1441 Carlisle Blvd Ne Suite D, Albuquerque NM 87110-5610. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Dental Providers / Dental Public Health is the primary health care specialty. Timothy M. Kelly, Dmd, Pa can be contacted via phone (505) 256-1770, or through Kelly, Timothy M via phone (505) 256-1770.

Contact Information

Primary practice address
1441 Carlisle Blvd Ne Suite D Albuquerque NM 87110-5610
Phone: (505) 256-1770
Fax: (505) 255-0220
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Timothy M DMD, PA
Phone: (505) 256-1770

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 1413 New Mexico
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X 1413 New Mexico

Profile Details

NPI number 1558736991
LBN Legal business name Timothy M. Kelly, Dmd, Pa
DBA Doing business as
Authorized official Kelly, Timothy M DMD, PA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2015
Last updated Feb 19th, 2021 - about 4 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.

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