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Jacob Kelly, D.D.S
NPI 1457769457 · on the registry since 2014
Practice
- Address
- 2360 Professional Dr Ste 100
Roseville, CA 95661 - Phone
- (916) 782-9479
- Fax
- (916) 782-9479
- Organisation at this address
- Jacob D Kelly Dds, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-01
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 California