JEFFREY ADAM KELLEY SR.


Address: 2924 W 6th St, Fort Worth, TX 76107-2213
Phone: 8178771651

JEFFREY ADAM KELLEY SR. (NPI# 1447353032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447353032
Entity Type Individual
Full Name JEFFREY ADAM KELLEY SR.
Credential DDS
Practice Address 2924 W 6th St
Fort Worth
TX 76107-2213
Mailing Address 2924 W 6th St
Ft Worth
TX 76107-2213
Practice Telephone 8178771651
Practice Fax Number 8178773337
Mailing Telephone 8178771651
Mailing Fax Number 8178773337
Enumeration Date 2006-09-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 14320 TX Dental Providers

Other Providers JEFFREY KELLEY

NPI Name Taxonomy Address Enumeration
1861948507 Jeffrey Byrne Kelley Pharmacist 2101 S Princeton Rd, Ottawa, KS 66067 2016-09-01
1629213905 Jeffrey Don Kelley Dentist 4501 Old Spartanburg Rd Ste 4, Taylors, SC 29687-4105 2008-12-15
1932298387 Jeffrey Robert Kelley Family Medicine 12522 Greenspoint Dr, Houston, TX 77060-1308 2006-10-12
1386281566 Jeffrey Kelley Massage Therapist 185 W 4th Ave, Post Falls, ID 83854-4978 2019-12-05
1821390436 Jeffrey Glen Kelley Physician Assistant 1840 Medical Center Pkwy, Suite 200, Murfreesboro, TN 37129-3199 2010-12-02
1730244732 Jeffrey Olin Kelley Dentist 25 N State St, Zeeland, MI 49464-1210 2006-12-27

Office Location

Street Address 2924 W 6TH ST
City FORT WORTH
State TX
Zip Code 76107-2213

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629683602 Renovo Wound and Hyperbarics Pllc Emergency Medicine 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 2020-09-15
1669085437 Ryan Bourgeois Nurse Practitioner 2917 Crocket Street, Fort Worth, TX 76107 2020-08-31
1053920546 Christa Marie Widjaja Optometrist 1700 Montgomery St, Fort Worth, TX 76107 2020-07-30
1093351355 Raymond Iannone Pharmacist 850 Montgomery St, Suite #310, Fort Worth, TX 76107 2019-11-21
1053963744 Cumulus Injury Resolution, Inc. Chiropractor 4936 Byers Avenue, Fort Worth, TX 76107 2019-07-12
1770135576 Shadia Osakwe Physician Assistant 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 2019-07-11
1568945442 Sachin P Patel Physical Therapist 4825 Wellesley St, Fort Worth, TX 76107 2018-09-07
1023594025 Ftw Pharmacy Services Inc Durable Medical Equipment & Medical Supplies 2912 W 6th St Ste 150, Fort Worth, TX 76107 2018-07-13
1669974325 Helen Williamson Elliott Counselor 1751 River Run #217, Fort Worth, TX 76107 2018-03-08
1487156931 Pelvic Neuromonitoring Pllc Electrodiagnostic Medicine 111 Boland St #211, Ft Worth, TX 76107 2018-03-01
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497354179 Perla Dental of Keller Pa Dentist 5325 Golden Triangle Blvd Ste 100, Fort Worth, TX 76244-4469 2020-10-22
1962028514 Christopher Thomas Mathew Dentist 4744 Bryant Irvin Rd, Fort Worth, TX 76132-3646 2020-06-19
1376016469 Brident Dental Associates PC Dentist 815 E Berry St Ste B, Fort Worth, TX 76110-4457 2019-01-10
1972089241 Hulen Dental Partners Pplc Dentist 6217 Oakmont Blvd, Fort Worth, TX 76132-2812 2018-07-19
1811473499 Oak View Family Dentistry Pllc Dentist 8201 N. Beach St. Unit 101, Fort Worth, TX 76244 2018-07-17
1184118465 Lisa Tran Dentist 515 W Loop 820 N Ste 101, Fort Worth, TX 76108-1450 2018-06-19
1548772213 Ideal Dental of West 7th Pllc Dentist 628 Harrold St Ste 124, Fort Worth, TX 76107-2323 2017-11-02
1396269429 Matthew Pedroza Dentist 4625 Feathercrest Dr., Fort Worth, TX 76137 2017-07-31
1083138341 Shakti Darshan Pllc Dentist 10313 Roatan Trl, Fort Worth, TX 76244-2039 2017-07-28
1336662022 Ben Luka Dentist 639 Alta Mere Dr, Fort Worth, TX 76114 2017-07-25
Find all providers in FORT WORTH

Competitor

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City FORT WORTH
Zip Code 76107

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Dataset Information

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.

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