Jennifer Ruth Kelley is a Granville, New York based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jennifer Ruth Kelley is 04287 for General Practice Dentistry in New York. Her current practice location is 89 North St, Granville. Patients can reach her at 518-642-2111.
Jennifer Ruth Kelley is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jennifer Ruth Kelley 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:
Jennifer Ruth Kelley
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
89 North St, Granville, New York, 12832-1138
Phone:
518-642-2111
Fax:
518-642-2891
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:
1780678748
NPI Enumeration Date:
07 Sep, 2005
NPI Last Update On:
04 Jun, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Ruth Kelley are as mentioned below.
License Number
Specialization
State
Status
04287
General Practice Dentistry
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jennifer Ruth Kelley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100-3247
Medicaid
Vermont
01196652
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
89 North St, Granville, New York
Zip:
12832-1138
Phone Number:
518-642-2111
Fax Number:
518-642-2891
Patients can reach Jennifer Ruth Kelley at 89 North St, Granville, New York or can call to book an appointment on 518-642-2111. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.