PAUL KELLY MAXILLOFACIAL PC NPI 1316324031

NPI Information

PAUL KELLY MAXILLOFACIAL PC is an oral and maxillofacial surgery dentist in Gilbert, AZ. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. PAUL KELLY MAXILLOFACIAL PC NPI is 1316324031. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

726 N GREENFIELD RD
SUITE #117
GILBERT, AZ
ZIP 85234-061
Phone: (480) 258-0879

The provider's authorized official is Paul John Kelly .
The authorized official title is Doctor And Owner and has the following contact phone number (480) 258-0879.

The enumeration date for this NPI number is 5/1/2015 and was last updated on 5/1/2015.

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:

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