National Provider Identifier

Marion Kelly, DDS

Marion Kelly, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Snyder, NY and a listed phone number of (716) 768-2110.

NPI 1013444173Snyder, NYGeneral Practice Dentistry

Profile Overview

NPI
1013444173
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
May 18, 2017
Last Updated
March 05, 2020

Practice Location

  • 4007 Harlem RD
  • Snyder, NY 14226-4707

Phone: (716) 768-2110

Mailing Address

  • 435 Hinman Ave
  • Buffalo, NY 14216-1018

Specialties

  • General Practice Dentistry (1223G0001X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1013444173
Entity Type
Individual
Last Name
Kelly
First Name
Marion
Credential
DDS
Provider Other Last Name
Kelly
Provider Other First Name
Marion
Provider Other Credential Text
DDS
Provider Other Last Name Type Code
5
Mailing Street Address
435 Hinman Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-1018
Mailing Country
US
Practice Street Address
4007 Harlem RD
Practice City
Snyder
Practice State
NY
Practice ZIP Code
14226-4707
Practice Country
US
Practice Phone
(716) 768-2110
Enumeration Date
May 18, 2017
Last Updated
March 05, 2020
Sex
Female
Sole Proprietor
No
Certification Date
March 05, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X), Student in an Organized Health Care Education/Training Program (390200000X)