Kelldental P.C

Primary specialty

DentistTaxonomy code 122300000X

License

4713 Issued in AL

Legal business name

KELLDENTAL P.C

Practice address

1121 S McKenzie St
Foley, AL 36535-1816

Phone

(251) 970-2333

Fax

(251) 970-2334

NPI assigned

Jan 9, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick Britton Kelly, D.M.D

Title

Dentist

Phone

(251) 970-2333

Specialties & licenses 1

Addresses

Other names 1

• USavedentistry Doing business as

Tax ID family

Enr Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• E.N.R. Dental P.C.

  • General Practice Dentistry
  • Foley, AL
  • NPI 1982994653
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1174912422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 S MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351816",
            "telephone_number": "251-970-2333",
            "fax_number": "251-970-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351816",
            "telephone_number": "251-970-2333",
            "fax_number": "251-970-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLDENTAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "BRITTON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "251-970-2333",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "4713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USavedentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Scott Jordan, DO
• Gregory Nelson Joy, MD
• K9 Dental Inc
• Scott Kahle, DO
• Maya Kedmi
• Karen Rae Kelley, D.C.
• Mick Kelling
• Mackenzie Kersey, DC
• Karianne Kibe, FNP-BC
• Anita King, NP

• Dentist in Foley, AL
• Providers in Foley, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.