| Chelsea Kelly Dds Llc | |
|
106 N Bryan St Hicksville OH 43526-1004 | |
| (419) 542-7748 | |
| (419) 542-7749 |
| Full Name | Chelsea Kelly Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 106 N Bryan St, Hicksville, Ohio |
| Authorized Official Name and Position | Chelsea R Kelly (OWNER/PROVIDER) |
| Authorized Official Contact | 4195427748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chelsea Kelly Dds Llc 106 N Bryan St Hicksville OH 43526-1004 Ph: (419) 542-7748 | Chelsea Kelly Dds Llc 106 N Bryan St Hicksville OH 43526-1004 Ph: (419) 542-7748 |
| NPI Number | 1326685728 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326685728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |