Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
W DAVID KELLY, DMD
Deactivated Sole ProprietorW DAVID KELLY, DMD is a Oral & Maxillofacial Surgery healthcare provider located in WORCESTER, Massachusetts. NPI 1326041385 is deactivated in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · WORCESTER, MA
This NPI has been deactivated.
The record was deactivated on March 16, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1326041385
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2005 (0.81095890410959 yrs)
- Last Updated
- Feb 17, 2012
- Deactivated
- Mar 16, 2006
- License
-
12222 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
59 QUINSIGAMOND AVEWORCESTER, MA, 016101867Browse MA providers · Browse ZIP 01610
- Phone
- 5087992550
- Fax
- 5087562923
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in WORCESTER, MA
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD LUDWIG SZAL | — | 1427014851 |
| XUE YU SHEN | DMD | 1245249820 |
| DR. JASJIT SINGH GILL | D.M.D | 1225109903 |
| DR. CHRISTOPHER KEVIN CLANCY | D.M.D | 1659442325 |
| DR. EARLE ROBERT HALSBAND | DMD | 1619043080 |
| DR. LAURIE MANTHOS | D.M.D. | 1295941607 |
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.