DR. EDWARD KELLY (NPI# 1235146689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235146689 |
Entity Type | Individual |
Full Name | DR. EDWARD KELLY |
Credential | D.D.S. |
Practice Address |
5900 Spout Springs Rd Ste U-21 Flowery Branch GA 30542-6448 |
Practice Telephone | 7709671850 |
Mailing Telephone | 7709671850 |
Enumeration Date | 2006-08-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DN 009563 | GA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417289927 | Edward Allen Kelly | General Practice | 315 Hillsboro St, Pittsboro, NC 27312-9313 | 2010-02-08 |
1164616488 | Edward M Kelly Jr. | Dentist | 1726 W Jarrettsville Rd, Jarrettsville, MD 21804-1524 | 2007-08-29 |
1235122300 | Edward A. Kelly Jr. | Family Medicine | 99 Manor Ave, Downingtown, PA 19335-2620 | 2005-08-24 |
1891344024 | Edward Robert Kelly | Specialist/Technologist | 512 N Campus, Ithaca, NY 14853-6007 | 2019-09-10 |
1679134910 | Edward Joseph Kelly Iv | Surgery | Musc Gme Office 169 Ashley Avenue Room 202 Muh Msc 33, Charleston, SC 29425-0001 | 2019-06-26 |
1326450073 | Edward M Kelly | Physical Therapy Assistant | 11039 Dugway Rd, Fillmore, NY 14735-8610 | 2014-05-29 |
1699015610 | Edward George Kelly | Orthopaedic Surgery | 212 9th St, Pittsburgh, PA 15222-3517 | 2013-02-28 |
1124315957 | Edward T Kelly Iv | Dentist | 114 Woodland St, Hartford, CT 06105-1208 | 2011-06-30 |
1083890503 | Edward Lawrence Kelly Jr. | Licensed Practical Nurse | 711 S Vine St, Glenwood, IA 51534-1927 | 2008-01-15 |
1609929074 | Edward James Kelly | Chiropractor | 231 W Patison St, Port Hadlock, WA 98339-9751 | 2007-01-19 |
Street Address |
5900 SPOUT SPRINGS RD STE U-21 |
City | FLOWERY BRANCH |
State | GA |
Zip Code | 30542-6448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366481335 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 5900 Spout Springs Rd, Flowery Branch, GA 30542-6448 | 2006-06-05 |
1831437177 | Wannah Shirley Ackerman | Pharmacist | 5900 Spout Springs Rd, Flowery Branch, GA 30542-6448 | 2013-01-22 |
1689921991 | Jayne Margaret Kelly | Dentist | 5900 Spout Springs Rd, Ste U-21, Flowery Branch, GA 30542 | 2012-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558974709 | Medlife Healthcare | Clinic/Center | 2129 Friendship Rd, Flowery Branch, GA 30542 | 2020-08-27 |
1437673431 | Ronnie Weeks Lcsw LLC | Social Worker | 4825 Oliver Road, Flowery Branch, GA 30542 | 2017-08-01 |
1801342183 | Hema Sundar | Dentist | 4028 Winder Highway, Edmonton, GA 30542 | 2016-08-28 |
1316397037 | Georgia Dental Professionals, PC | Dentist | 4030 Winder Highway, Flowery Branch, GA 30542 | 2016-06-14 |
1285067793 | Home Care Matters | Home Health | 5505 Church St, Suite 240, Flowery Branch, GA 30542 | 2013-08-20 |
1093957052 | Janelle Elizabeth Luczka | Social Worker | 4331 Thurmond Tanner Pkwy, Flowery Branch, GA 30542 | 2009-04-06 |
1073764791 | Guillermina Osoria | Driver | 1707 Tree Park Cir, Flowery Branch, GA 30542 | 2008-10-01 |
1083888531 | Ingles Markets Inc | Pharmacy | 4260 Winder Hwy, Flowery Branch, GA 30542 | 2008-04-16 |
1679793038 | Sonea Maria Russell | Physical Therapy Assistant | Willowood Nursing Center, 4595 Cantrell Road, Flowery Branch, GA 30542 | 2007-04-26 |
1134345895 | Ray Charles Davis | Psychiatry & Neurology | 4331 Thurmond Tanner Parkway, Flowery Branc, GA 30542 | 2007-04-18 |
Find all providers in zip 30542 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174147680 | Yunhee Choi | Dentist | 3446 Winder Hwy # 501q, Flowery Branch, GA 30542-3007 | 2020-05-31 |
1689171928 | Saurinkumar Navinbhai Patel | Dentist | 3446 Winder Hwy Ste 501, Flowery Branch, GA 30542-3007 | 2018-04-12 |
1316397037 | Georgia Dental Professionals, PC | Dentist | 4030 Winder Highway, Flowery Branch, GA 30542 | 2016-06-14 |
1669853859 | Eric W. Jones, Dmd, PC | Dentist | 7330 Spout Springs Rd Ste C15, Flowery Branch, GA 30542-5801 | 2015-06-12 |
1942436217 | Eric Wonderly Jones | Dentist | 7338 Spout Springs Rd, Suite C-15, Flowery Branch, GA 30542-5803 | 2009-06-01 |
1083836126 | Royal E Fink Dds PC | Dentist | 6095 Atlanta Hwy Ste 200, Flowery Branch, GA 30542-5377 | 2007-05-02 |
1699711416 | Reginald Douglas Booker | Dentist | 4005 Winder Hwy, #100, Flowery Branch, GA 30542-6564 | 2006-06-21 |
1689921991 | Jayne Margaret Kelly | Dentist | 5900 Spout Springs Rd, Ste U-21, Flowery Branch, GA 30542 | 2012-08-07 |
1528334257 | Lily Teresa Gilchrist | Dentist | 4175 Tanners Creek Dr, Flowery Branch, GA 30542-2816 | 2012-03-27 |
1396023859 | Eric W. Jones, Dmd, PC | Dentist | 7338 Spout Springs Rd, Suite C-15, Flowery Branch, GA 30542-5803 | 2011-08-01 |
Find all providers in FLOWERY BRANCH |
City | FLOWERY BRANCH |
Zip Code | 30542 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.