DR. ANDREW WAYNE KELLY


Address: 5710 W Gate City Blvd, Greensboro, NC 27407-7061
Phone: 3367667966

DR. ANDREW WAYNE KELLY (NPI# 1992888242) 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) 1992888242
Entity Type Individual
Full Name DR. ANDREW WAYNE KELLY
Credential DDS
Practice Address 5710 W Gate City Blvd
Greensboro
NC 27407-7061
Mailing Address 137 N Hiddenbrooke Dr
Advance
NC 27006-7299
Practice Telephone 3367667966
Practice Fax Number 8778404367
Mailing Telephone 3367667966
Mailing Fax Number 3369405346
Enumeration Date 2006-10-23
Last Update Date 2018-12-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
35919 CA Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
7350 NC Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IRS 82-3139362 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
100 Stadium Oaks Dr, Clemmons, NC 270128961 3367667966 3367667694
1241 W Clemmonsville Rd, Winston Salem, NC 271274790 3367667966 8778404367

Other Providers ANDREW KELLY

NPI Name Taxonomy Address Enumeration
1073625018 Andrew John Kelly Physician Assistant 824 Main Street, Suite 100, Phoenixville, PA 19460 2006-08-31
1316920895 Andrew P Kelly Radiology 555 E Hardy Street, Centinela Hospital Medical Center, Inglewood, CA 90301 2005-11-29
1871593004 Andrew Edward Kelly Physical Therapist 165 N Redwood Dr, San Rafael, CA 94903-1969 2005-07-29
1700348729 Andrew David Kelly Student in an Organized Health Care Education/Training Program 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2019-04-01
1417422171 Andrew Kelly Assistant Behavior Analyst 12505 Starkey Rd Ste J, Largo, FL 33773-2617 2018-10-09
1619467081 Andrew Kelly Counselor 2715 Colonial Dr Ste 200a, Columbia, SC 29203-6818 2018-05-11
1396250981 Andrew Kelly Physical Therapist 13330 Bloomfield Ave Ste 101, Norwalk, CA 90650-3259 2017-12-05
1104356377 Andrew Nicholas Kelly Physician Assistant 8835 Germantown Ave, Philadelphia, PA 19118-2718 2017-06-19
1831519420 Andrew Kelly Student in an Organized Health Care Education/Training Program 79 Retreat Avenue, Adult Primary Care Brownstone Clinic, Farmington, CT 06032 2014-04-22
1437492949 Andrew Louis Kelly Family Medicine 7858 S Olympia Ave, Tulsa, OK 74132-1857 2013-04-03

Office Location

Street Address 5710 W GATE CITY BLVD
City GREENSBORO
State NC
Zip Code 27407-7061

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477164671 Whitney Tran Pharmacist 5710 W Gate City Blvd, Greensboro, NC 27407-7061 2020-08-11
1730729880 Angela Butler Pharmacist 5710 W Gate City Blvd, Greensboro, NC 27407-7061 2020-01-07
1972162857 Alice Han Pharmacist 5710 W Gate City Blvd, Greensboro, NC 27407-7061 2019-06-13
1306405162 Tirrany T Osborne Physician Assistant 5710 W Gate City Blvd, Greensboro, NC 27407-7061 2019-06-06
1740545888 Rxcarolina Pharmacy 5710 W Gate City Blvd, Z, Greensboro, NC 27407-7061 2012-07-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093326019 Marie Louise Phillips Behavior Technician 111 Domona Dr, Unit 6, Greensboro, NC 27407 2020-08-13
1306472709 Blondine Yvonne Wynn Home Health Aide 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 2020-03-17
1104452994 Monyetta Marie Howell Counselor 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 2020-03-12
1215456769 Tiffany R. Wright Massage Therapist 317 H South Westgate Drive, Greensboro, NC 27407 2017-09-15
1992225676 Kendra Edwards Social Worker 1 Centerview Dr Ste 103, Greensboro, NC 27407 2017-06-22
1477902674 Triad Integrative Wellness Center Inc Acupuncturist 315j South Westgate Dr, Greensboro, NC 27407 2016-06-08
1083098354 Kathryn Theall Counselor 1901 Adams Farm Pkwy, Greensboro, NC 27407 2015-07-16
1962886333 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 5710-w West Gate City Blvd, Greensboro, NC 27407 2015-07-16
1619356177 Lindsey King Registered Nurse 302 Pomona Drive, Greensboro, NC 27407 2015-05-29
1255737664 M.a.p.p.s. Clinic/Center 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 2014-11-12
Find all providers in zip 27407

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467076976 Vanessa Catherina Knox Dentist 4496 Veranda Lake Ct, Greensboro, NC 27409-9244 2020-05-31
1710522065 Georgia Dental Alliance of Greensboro Dentist 1041 Parkside Cmns Ste 104, Greensboro, GA 30642-4519 2019-11-11
1720632946 Elizabeth B Mcmichael Dentist 2321 Battleground Ave, Greensboro, NC 27408-5422 2019-07-25
1609347731 Thomas J Bagley D.d.s., P.a. Dentist 2729 Horse Pen Creek Rd Ste 103, Greensboro, NC 27410-8396 2018-12-16
1063904506 Jonathan Hunt Dentist 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 2018-05-31
1578054557 Koelling Johnstun & Associates Pllc Dentist 2643 Randleman Rd, Greensboro, NC 27406-5153 2018-05-24
1891293205 Drs Roberts Reimels and Kashyap Pllc Dentist 1126 N Church St Ste 102, Greensboro, NC 27401-1035 2018-01-31
1689031783 M. Thomas Jones Dmd, Pa Dentist 5710 W Gate City Blvd Ste R, Greensboro, NC 27407-7047 2016-01-20
1255710646 Travis Andrew Bell Dentist 526 N Elam Ave Ste 201, Greensboro, NC 27403-1132 2015-05-19
1104218007 Koelling & Associates Pllc Dentist 510 Nicholas Rd, F, Greensboro, NC 27409-3399 2015-03-02
Find all providers in GREENSBORO

Competitor

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City GREENSBORO
Zip Code 27407

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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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