Search › Illinois › 1223G0001X
Matthew Kelly, D.D.S
NPI 1033465042 · on the registry since 2012
Practice
- Address
- 9 E Van Buren St
Millstadt, IL 62260 - Phone
- (618) 476-7828
- Organisation at this address
- Matthew J. Kelly, Dds, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois