Stuart Glen Kelly, DDS

General Practice Dentistry · Marion, IN

Individual Active NPI

NPI number 1932298569

Practice location

830 N Theatre Rd
Marion, IN 46952-1700
Phone
(765) 664-0028

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NPI record

NPI
1932298569
Entity type
Individual (Type 1)
Enumeration date
October 12, 2006
Last updated
March 29, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12008239 IN

Mailing address

117 W Mulberry St
Marion, IN 46952-2667
Phone
(765) 664-0028
Fax
(765) 668-3658

Other practice locations (1)

  • 117 W Mulberry St, Marion, IN 46952-2667 · (765) 664-0028

About Dr. Kelly

Stuart Glen Kelly, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 830 N Theatre Rd, Marion, IN 46952-1700. The NPI number 1932298569 was assigned on October 12, 2006 and the record was last updated on March 29, 2018.

Dr. Kelly lists a license in the registry: #12008239 (IN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stuart Glen Kelly, DDS?

The NPI number is 1932298569.

What is the phone number of Dr. Kelly?

The phone number listed for the practice location is (765) 664-0028.

Where is Dr. Kelly located?

830 N Theatre Rd, Marion, IN 46952-1700.

What is the taxonomy code for Dr. Kelly?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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