Jerry Kelly, DDS
NPI 1386853745 · on the registry since 2007 · sole proprietor
Practice
- Address
- 263 S Jefferson Ave
Marshall, MO 65340 - Phone
- (660) 886-6843
- Fax
- (660) 886-7855
- Organisation at this address
- Wright Dental Llc
Marshall Dental Care, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Missouri