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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY FAMILY DENTISTRY

Active Organization

KELLY FAMILY DENTISTRY is a Dental Clinic organization located in JACKSON, Mississippi. NPI 1619338761 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · JACKSON, MS

Registration Details

NPI Number
1619338761
Provider Type
Organization
NPI Issued
Mar 17, 2016 (10.443480978408 yrs)
Last Updated
Mar 17, 2016
License
364412 (MS)

Practice Information

Address
514 E WOODROW WILSON AVE STE G
JACKSON, MS, 392164538
Browse MS providers · Browse ZIP 39216
Phone
7695724425
Fax
8442700967
Primary Specialty
Dental Clinic
261QD0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.