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NPI Code Detail

MEDICARE: NATALIE KELLEY DDS

MEDICARE:   NATALIE  KELLEY  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist14418MD

General Provider Information

NPI Number : 1083939011
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE KELLEY DDS
Provider Business Mailing Address
First Line : 14333 LAUREL BOWIE RD STE 301
Second Line :
City : LAUREL
State : MD
Zip : 20708-1183
Country : US
Telephone Number : 301-317-9020
Fax Number : 301-317-0282
Provider Business Practice Location Address
First Line : 14333 LAUREL BOWIE RD STE 301
Second Line :
City : LAUREL
State : MD
Zip : 20708-1183
Country : US
Telephone Number : 301-317-9020
Fax Number : 301-317-0282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2010
Last Update Date : 02/18/2026

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Directions to “ NATALIE KELLEY DDS” Practice Location

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