Matthew Patrick Kelley, DDS

General Practice Dentistry · Mountlake Terrace, WA

Individual Active NPI

NPI number 1952594947

Practice location

21909 64TH Ave W
Mountlake Terrace, WA 98043-2278
Phone
(425) 771-3505

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NPI record

NPI
1952594947
Entity type
Individual (Type 1)
Enumeration date
August 22, 2007
Last updated
March 25, 2020
Certified
March 25, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE 60011783 WA

About Dr. Kelley

Matthew Patrick Kelley, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 21909 64TH Ave W, Mountlake Terrace, WA 98043-2278. The NPI number 1952594947 was assigned on August 22, 2007 and the record was last updated on March 25, 2020.

Dr. Kelley lists a license in the registry: #DE 60011783 (WA) 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 Matthew Patrick Kelley, DDS?

The NPI number is 1952594947.

What is the phone number of Dr. Kelley?

The phone number listed for the practice location is (425) 771-3505.

Where is Dr. Kelley located?

21909 64TH Ave W, Mountlake Terrace, WA 98043-2278.

What is the taxonomy code for Dr. Kelley?

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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