| Matthew Dixon Kelly, | |
|
112 Sixth Avenue, Page, AZ 86040-1956 | |
| (928) 645-3206 | |
| (928) 645-9139 |
| Full Name | Matthew Dixon Kelly |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 112 Sixth Avenue, Page, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699061523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D008232 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Dixon Kelly, Po Box 1956, Page, AZ 86040-1956 Ph: (928) 645-3206 | Matthew Dixon Kelly, 112 Sixth Avenue, Page, AZ 86040-1956 Ph: (928) 645-3206 |
Paul Burton, DDS Dentist Medicare: Medicare Enrolled Practice Location: 824 El Mirage St, Page, AZ 86040 Phone: 928-660-9220 | |
Dr. Ryan James Robinson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 112 6th Ave, Page, AZ 86040 Phone: 928-645-3206 | |
Merril Bryan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 112 Sixth Ave, Page, AZ 86040 Phone: 928-645-3206 Fax: 928-645-9139 | |
Peter V Banks, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 112 Sixth Ave, Page, AZ 86040 Phone: 928-645-3206 Fax: 928-645-9139 | |
Jeffrey S Gifford, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 112 Sixth Ave, Page, AZ 86040 Phone: 928-645-3206 Fax: 928-645-9139 |