DR. STEPHEN S. KELLY (NPI# 1528053204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528053204 |
Entity Type | Individual |
Full Name | DR. STEPHEN S. KELLY |
Credential | DMD |
Practice Address |
2530 N 8th St Suite 103 Grand Junction CO 81501-8857 |
Practice Telephone | 9702452222 |
Practice Fax Number | 9702434438 |
Mailing Telephone | 9702452222 |
Mailing Fax Number | 9702434438 |
Enumeration Date | 2005-09-19 |
Last Update Date | 2008-06-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
104240 | CO | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 04014940 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861023343 | Stephen M Kelly | Specialist/Technologist | N8021 Lake Breeze Dr, Sherwood, WI 54169-9613 | 2020-02-03 |
1235781584 | Stephen Kelly | Student in an Organized Health Care Education/Training Program | 2114 E Pinnacle Terrace Way Apt 302, Cottonwood Heights, UT 84121-5086 | 2019-07-16 |
1457601098 | Stephen Patrick Kelly | Mechanotherapist | 6080 Jericho Tpke Ste 200, Commack, NY 11725-2808 | 2012-09-11 |
1558504258 | Stephen Michael Kelly | Emergency Medicine | 333 Grand St, Ed - Jersey City Medical Center, Jersey City, NJ 07302-4319 | 2009-04-09 |
1245367663 | Stephen Michael Kelly | Internal Medicine | 1501 River Pointe Dr Ste 240, Conroe, TX 77304-2861 | 2007-02-27 |
1770652349 | Stephen Michael Kelly | Optometrist | 851 Cherry Ave, Bayhill Center #25, San Bruno, CA 94066-2900 | 2006-11-07 |
1699722504 | Stephen Kelly | Physical Therapist | 80 Mill St, 1, Newton, NJ 07860-1411 | 2006-05-27 |
1689678518 | Stephen Kelly | Chiropractor | 403 S 3rd St, Youngwood, PA 15697-1154 | 2005-06-09 |
1457876310 | Stephen Michael Kelly | Registered Nurse | 1500 E Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109-5048 | 2017-08-11 |
1023321304 | Stephen Michael Kelly | Nurse Anesthetist, Certified Registered | 2021 Perdido St, New Orleans, LA 70112-1352 | 2010-07-15 |
Street Address |
2530 N 8TH ST SUITE 103 |
City | GRAND JUNCTION |
State | CO |
Zip Code | 81501-8857 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689672735 | Richard Edward Stiefler | Specialist | 2530 N 8th St, Suite 205, Grand Junction, CO 81501-8857 | 2005-07-12 |
1952634933 | Richard E. Stiefler, M.d. | Dermatology | 2530 N 8th St, Suite 205, Grand Junction, CO 81501-8857 | 2009-09-09 |
1326278797 | Callee Cosby Clark | Dentist | 2530 N 8th St, Suite 106, Grand Junction, CO 81501-8857 | 2009-07-20 |
1992992150 | C.w. Derm, LLC | Dermatology | 2530 N 8th St, Suite 205, Grand Junction, CO 81501-8858 | 2007-10-01 |
1700866159 | Mitchell D Burnbaum | Psychiatry & Neurology | 2530 N 8th St, Ste 206, Grand Junction, CO 81501-8857 | 2006-01-20 |
1720068059 | John L Gustavson | Clinical Neuropsychologist | 2530 N 8th St, Suite 204, Grand Junction, CO 81501-8857 | 2006-01-20 |
1255319521 | Dale E. Bowen | Clinical Neuropsychologist | 2530 N 8th St, Suite 204, Grand Junction, CO 81501-8857 | 2006-01-05 |
1376542738 | Stephen David Fante | Dentist | 2530 N 8th St, Ste 106, Grand Junction, CO 81501-8857 | 2005-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
Find all providers in zip 81501 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356652358 | David Lillian | Dentist | 613 25 Rd, Grand Junction, CO 81505-1590 | 2010-06-24 |
1336343573 | Gregory James Hunter | Dentist | 607 25 Rd Ste 100, Grand Junction, CO 81505-1287 | 2007-06-12 |
1063639805 | David L Nock | Dentist | 425 Patterson Rd Ste 501, Grand Junction, CO 81506-1910 | 2007-04-20 |
1871674069 | Kenneth Eugene Perino | Dentist | 2532 Patterson Road, Suite 10, Grand Junction, CO 81505-1098 | 2006-10-17 |
1295179554 | Joseph R. Funderburk, Dds, Professional LLC | Dentist | 2532 Patterson Rd Ste 10, Grand Junction, CO 81505-3607 | 2013-04-17 |
1174768998 | Monument Oral and Facial Surgery, PC | Dentist | 607 25 Rd Ste 100, Grand Junction, CO 81505-1287 | 2008-12-08 |
1205034949 | Joseph Robert Funderburk | Dentist | 2532 Patterson Rd, Grand Junction, CO 81505-3604 | 2007-07-03 |
1114008224 | Grand Junction Oral Surgery Associates, P.C. | Dentist | 2532 Patterson Rd, Suite 10, Grand Junction, CO 81505-1098 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669071189 | Oms Associates Colorado PC | Dentist | 755 Maleta Ln Ste A, Castle Rock, CO 80108-7610 | 2020-10-26 |
1346849866 | Oms Associates Colorado PC | Dentist | 1755 Telstar Dr Ste 210, Colorado Springs, CO 80920-1018 | 2020-10-26 |
1740889260 | Oms Associates Colorado PC | Dentist | 10219 Parkglenn Way Ste 201, Parker, CO 80138-3875 | 2020-10-26 |
1386266070 | Blue Sky Oms P.C. | Dentist | 1707 61st Ave Ste 102, Greeley, CO 80634-7997 | 2020-05-15 |
1679121404 | James W Makowski Dds PC | Dentist | 1220 S Parker Rd Ste 104, Denver, CO 80231-2166 | 2019-08-26 |
1528553070 | Comfort Dental Oral Surgery Colorado Springs LLC | Dentist | 556 W. Hwy 105, Monument, CO 80132 | 2018-06-27 |
1689167280 | Cheyenne Mountain Oral Surgery PC | Dentist | 640 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3884 | 2018-06-08 |
1932692589 | Glendale Oral Surgery PC | Dentist | 3955 E Exposition Ave Ste 520, Denver, CO 80209-5030 | 2018-06-08 |
1790292431 | Alix Greenman | Dentist | 6179 S Balsam Way Ste 100, Littleton, CO 80123-3092 | 2018-01-03 |
1467967307 | Boulder Oral Surgery | Dentist | 3450 Penrose Pl Ste 120, Boulder, CO 80301-1800 | 2017-12-13 |
Find all providers with the same taxonomy |
City | GRAND JUNCTION |
Zip Code | 81501 |
Please comment or provide details below to improve the information on DR. STEPHEN S. KELLY.
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.