IndividualActive
Joseph Kelly, DDS
NPI 1083756860 · Pediatric Dentistry · Crofton, NE
Provider details
- NPI number
- 1083756860
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5907 (NE)
Specialties & taxonomies
Dental Providers
Practice location
89574 545 Ave
Crofton, NE 68730-3238
Phone: (206) 948-2763
Approximate (ZIP-level) locationGet directions
Mailing address
89574 545 Ave
Crofton, NE 68730-3238
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.