KELLEY AND HOLT PLLC NPI 1962745992

NPI Information

NPI: 1962745992
Provider Name: KELLEY AND HOLT PLLC

Doing Business As: BROOKDALE PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
9601 BROOKDALE DR
SUITE 400
CHARLOTTE, NC
ZIP 28215
Phone: (704) 599-3901
Get Directions

KELLEY AND HOLT PLLC is a pediatric dentistry dentist in Charlotte, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. KELLEY AND HOLT PLLC NPI is 1962745992. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Brookdale Pediatric Dentistry.

The provider's business location address is:

9601 BROOKDALE DR
SUITE 400
CHARLOTTE, NC
ZIP 28215-725
Phone: (704) 599-3901

The provider's authorized official is Chelita Kaye Kelley .
The authorized official title is Owner/dentist and has the following contact phone number (704) 599-3901.

The enumeration date for this NPI number is 3/28/2013 and was last updated on 3/28/2013.

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
1	1223P0221X	Dentist	Pediatric Dentistry	7311	NORTH CAROLINA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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