Randall James Kelley is a Provo, Utah based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Randall James Kelley is 33052 for General Practice Dentistry in California. His current practice location is 275 N 500 W, Suite C, Provo. Patients can reach him at 801-374-5768.
Randall James Kelley is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Randall James 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:
Randall James Kelley
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
275 N 500 W, Suite C, Provo, Utah, 84601-3006
Phone:
801-374-5768
Fax:
801-375-3598
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:
1538387154
NPI Enumeration Date:
20 Apr, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randall James Kelley are as mentioned below.
License Number
Specialization
State
Status
33052
General Practice Dentistry
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9255 Maison Dr, Sandy, Utah
Zip:
84093-2427
Phone Number:
650-218-0069
Fax Number:
801-375-3598
Patients can reach Randall James Kelley at 275 N 500 W, Suite C, Provo, Utah or can call to book an appointment on 801-374-5768. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.