National Provider Identifier Database

TIMOTHY M KELLY DMD PA
Dental Public Health

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.


Contact Information

TIMOTHY M. KELLY, DMD, PA
1441 CARLISLE BLVD NE
SUITE D
ALBUQUERQUE, NM87110-5610
Phone: 505-256-1770
Fax: 505-255-0220
Website:
Specialty Taxonomy Code
* Dental Public Health 1223D0001X
Customized Equipment 332BC3200X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for TIMOTHY M. KELLY, DMD, PA

NPI Number 1558736991
Legal business name
LBN
TIMOTHY M. KELLY, DMD, PA
Authorized official TIMOTHY KELLY - (OWNER/DENTIST)
Entity Organization
Organization subpart No
Enumeration date 12/10/2015
Last updated 02/19/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 1413

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.

Reviews for TIMOTHY M. KELLY, DMD, PA

There are currently no reviews for TIMOTHY M. KELLY, DMD, PA


NPIdb - Home
v2.201