| Dr David Randolph Kelly, DDS | |
|
1941 Euclid Ave, Bristol, VA 24201-3607 | |
| (276) 669-0112 | |
| (276) 669-6922 |
| Full Name | Dr David Randolph Kelly |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1941 Euclid Ave, Bristol, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124048491 | NPI | - | NPPES |
| 021225 | Other | ANTHEM | |
| 0064919 | Other | TN | BCBS |
| 9178719 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401006167 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Randolph Kelly, DDS 1941 Euclid Ave, Bristol, VA 24201-3607 Ph: (276) 669-0112 | Dr David Randolph Kelly, DDS 1941 Euclid Ave, Bristol, VA 24201-3607 Ph: (276) 669-0112 |
Dr. Roy S Shelburne, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14245 Lee Hwy, Bristol, VA 24202 Phone: 276-628-8164 | |
Dr. Victoria Cross Bettis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14245 Lee Hwy, Bristol, VA 24202 Phone: 276-669-1370 Fax: 276-669-6348 | |
Dr. Ronald Dean Jessup, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14245 Lee Hwy, Bristol, VA 24202 Phone: 276-628-8164 Fax: 276-644-3145 | |
Dr. Lee F Lykins Iii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14245 Lee Hwy, Bristol, VA 24202 Phone: 276-669-1370 Fax: 276-669-6348 | |
Scott Randolph Miller, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 15325 Lee Hwy, Bristol, VA 24202 Phone: 276-466-9800 Fax: 276-591-5959 | |
Dr. Tyler Lane Pittman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1740 Euclid Ave, Bristol, VA 24201 Phone: 276-466-2028 Fax: 276-466-1629 |