Randall James Kelley, DMD
Randall James Kelley, DMD is a General Practice Dentistry in Provo, Utah. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
275 N 500 W Ste CProvo, UT 84601-3006
Phone: (801) 374-5768
Fax: (801) 375-3598
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 33052 (CA) |
|---|
Record details
| NPI number | 1538387154 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD |
| Sole proprietor | No |
| NPI enumerated | April 20, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 9255 Maison Dr, Sandy, UT 84093-2427 |
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