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General NPI Number Information
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NPI Number | 1760511448
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Entity Type | Organization
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Legal Business Name | WILLIAM M. KELLEY, DDS., INC.
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 780 E ROMIE LN SUITE #F
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City | SALINAS
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State | CA
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Zip | 93901-4223
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Country | US
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Telephone | 831-422-5832
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Fax |
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Provider Business Mailing Address
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Address Line | 780 E ROMIE LN SUITE #F
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City | SALINAS
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State | CA
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Zip | 93901-4223
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Country | US
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Telephone | 831-422-5832
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | WILLIAM M. KELLEY
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Credential | D.D.S.
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Telephone | 831-422-5832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 42924
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License Number State | CA
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