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Contact Information

KELLY D DOVE, DDS
725 W MT. VERNON ST.
NIXA, MO65714
 Phone: 417-708-9098
 Fax: 417-869-2469
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for KELLY D DOVE · (Female)

NPI Number 1205197373
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/05/2012
Last updated 05/05/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2012015525
  • MO License # 201205525
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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