Dr. Diane Collette Kelly is a Dacula, Georgia based Pediatric Dentist who is specialized in Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Diane Collette Kelly is DN012082 for Pediatric Dentistry in Georgia. Her current practice location is 2119 Hamilton Creek Pkwy, Suite 200, Dacula. Patients can reach her at 678-714-7011.
Dr. Diane Collette Kelly provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Diane Collette Kelly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Diane Collette Kelly
Specialization:
Pediatric Dentist
Gender:
Female
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
2119 Hamilton Creek Pkwy, Suite 200, Dacula, Georgia, 30019-3293
Phone:
678-714-7011
Fax:
678-714-8388
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1851431522
NPI Enumeration Date:
08 Feb, 2007
NPI Last Update On:
09 Jul, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Diane Collette Kelly are as mentioned below.
License Number
Specialization
State
Status
DN012082
Pediatric Dentistry
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Diane Collette Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DN012082
Other
Georgia
DENTAL LICENSE NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2119 Hamilton Creek Pkwy, Suite 200 Dacula, Georgia
Zip:
30019-3293
Phone Number:
678-714-7011
Fax Number:
678-714-8388
Patients can reach Dr. Diane Collette Kelly at 2119 Hamilton Creek Pkwy, Suite 200, Dacula, Georgia or can call to book an appointment on 678-714-7011. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.