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DR. JOHN PATRICK WASHINGTON KELLY M.D. D.M.D. NPI 1386685022


NPI Information

NPI: 1386685022
Provider Name: DR. JOHN PATRICK WASHINGTON KELLY, M.D., D.M.D.
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Address:
1450 CHAPEL ST
MOB-2
NEW HAVEN, CT
ZIP 06511
Phone: (203) 789-3156
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DR. John Patrick Washington Kelly, M.D., D.M.D. is an oral maxillofacial surgery in New Haven, CT. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. John Patrick Washington Kelly, M.D., D.M.D. NPI is 1386685022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1450 CHAPEL ST
MOB-2
NEW HAVEN, CT
ZIP 06511-405
Phone: (203) 789-3156
Fax: (203) 789-3954

The enumeration date for this NPI number is 6/10/2006 and was last updated on 10/12/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery008783CONNECTICUTNo
2204E00000XOral & Maxillofacial Surgery038903CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D85825MEDICARE UPINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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