| Dr Matthew Kelly, DDS | |
| 
					9 E Van Buren St, Millstadt, IL 62260-2009  | |
| (618) 476-7828 | |
| Not Available | 
| Full Name | Dr Matthew Kelly | 
|---|---|
| Gender | Male | 
| Speciality | Dentist - General Practice | 
| Location | 9 E Van Buren St, Millstadt, Illinois | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033465042 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2012015661 (Missouri) | Secondary | 
| 1223G0001X | Dentist - General Practice | 019030041 (Illinois) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Matthew Kelly, DDS 9 E Van Buren St, Millstadt, IL 62260-2009 Ph: () -  | Dr Matthew Kelly, DDS 9 E Van Buren St, Millstadt, IL 62260-2009 Ph: (618) 476-7828  | 
Mr. John F Touchette, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9 E Van Buren, Millstadt, IL 62260 Phone: 618-476-7828  | |
Philip Matthew Acker, DDS Dentist Medicare: Medicare Enrolled Practice Location: 502 W Washington, Millstadt, IL 62260 Phone: 618-476-7045 Fax: 618-476-7278  |