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G. SCOTT KELLY DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1225223506
Individual Registrant: G. SCOTT KELLY DDS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
5 LOWRIE AVE GLADSTONE, MI 49837-2013 US
Tel: 906-428-1923 Fax: 906-428-3021
Tel: 906-428-1923 Fax: 906-428-3021
Contact information for business:
5 LOWRIE AVE GLADSTONE, MI 49837-2013 US
Tel: 906-428-1923 Fax: 906-428-3021
Tel: 906-428-1923 Fax: 906-428-3021
Registration Information:
NPI: 1225223506
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | MI | 2901017195 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
