Joseph C. Kelly, Jr., D.D.S.,PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOSEPH C. KELLY, JR., D.D.S.,PA

Practice address

2205 Silverside Rd
Suite 2
Wilmington, DE 19810-4534

Phone

(302) 475-5555

Fax

(302) 475-5861

NPI assigned

Jan 10, 2011

Organization subpart

No

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

Authorized official

Name

Joseph C KellyNPI 1942318555

Title

Owner

Phone

(302) 475-5555

Specialties & licenses 1

Addresses

Other names 1

• Graylyn Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph C Kelly Jr., DDS

  • Dentist
  • Wilmington, DE
  • NPI 1942318555

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1760786404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 SILVERSIDE RD",
            "address_2": "SUITE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104534",
            "telephone_number": "302-475-5555",
            "fax_number": "302-475-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 SILVERSIDE RD",
            "address_2": "SUITE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104534",
            "telephone_number": "302-475-5555",
            "fax_number": "302-475-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH C. KELLY, JR., D.D.S.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-475-5555"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graylyn Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany L Jones
• Darlene Papa Jordan, LCSW
• Janine M Jordan, MD
• Julia Jordan, NP
• Meghan Jornlin, PMHNP-BC
• Joseph F. Spera, D.M.D., P.a.
• Joseph G. Goldberg O.D.
• Joseph G. Irwin, DC, PA/PC
• Brianna Joseph, LMT
• Chinaka Nkese Joseph, MD

• General Practice Dentistry in Wilmington, DE
• Providers in Wilmington, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.