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Contact Information

ELLEN R KELLY, DMD
905 RIO EAST COURT
SUITE B
CHARLOTTESVILLE, VA22901
 Phone: 434-977-4592
 Fax: 434-977-0675
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ELLEN R KELLY · (Female)

NPI # 1437291952
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 02/12/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0401008617
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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