Dr Terence Patrick Kelly, DDS is a
Student In An Organized Health Care Education/training Program based in Youngstown, Ohio. Dr Terence Patrick Kelly is licensed to practice in Ohio (license number 57.246804) and his current practice location is
500 Gypsy Ln, Youngstown, Ohio. He can be reached at his office (for appointments etc.) via phone at
(330) 884-1000.
NPI number for Dr Terence Patrick Kelly is 1508927757 and his current mailing address is 7649 Earlington Pkwy, Dublin, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508927757.
Healthcare Provider's Profile
| Full Name | Dr Terence Patrick Kelly |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 500 Gypsy Ln, Youngstown, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1508927757
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 06/29/2018
Medical Identifiers
Medical identifiers for Dr Terence Patrick Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508927757 | NPI | - | NPPES |
| 2073232 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30-017132 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 57.246804 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Terence Patrick Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Terence Patrick Kelly, DDS
7649 Earlington Pkwy,
Dublin, OH 43017-3424
Ph: () - | Dr Terence Patrick Kelly, DDS
500 Gypsy Ln,
Youngstown, OH 44504
Ph: (330) 884-1000 |
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