NPI 1386685022

John Patrick Washington Kelly, MDDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) New Haven, CT

Practice location

Address: 1450 Chapel St Mob-2, New Haven, CT 06511-4405
Phone: (203) 789-3156
Fax: (203) 789-3954

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 038903 (CT)

Other Oral & Maxillofacial Surgery providers in Connecticut →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 008783 (CT)

Other Dentist providers in Connecticut →

Registry record

NPI: 1386685022
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2006
Record last updated: 12 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.