Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW KELLY, D.D.S.
ActiveDR. MATTHEW KELLY, D.D.S. is a General Dentistry healthcare provider located in MILLSTADT, Illinois. NPI 1033465042 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MILLSTADT, IL
Registration Details
- NPI Number
- 1033465042
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2012 (13.868144037835 yrs)
- Last Updated
- Oct 1, 2014
- Licenses
-
2012015661 (MO)019030041 (IL)
Practice Information
- Address
-
9 E VAN BUREN STMILLSTADT, IL, 622602009Browse IL providers · Browse ZIP 62260
- Phone
- 6184767828
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.