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Contact Information

JOSEPH C KELLY JR, DDS
2205 SILVERSIDE ROAD
WILMINGTON, DE19810
 Phone: 302-475-5555
 Fax: 302-475-5861
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JOSEPH C KELLY JR · (Male)

NPI Number 1942318555
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/25/2006
Last updated 04/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • DE License # BK5934612
  • DE License # G1-0001086
  • DE Medicaid 1000037979
  • DE Other 1760786404 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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