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W. DAVID KELLY, DMD
NPI 1033434659
Dentist - Oral and Maxillofacial Surgery in Worcester, MA

Active since April 07, 2010
59 QUINSIGAMOND AVE, WORCESTER, MA 01610(508) 799-2550(508) 756-2923 Get Directions Write a Review

NPPES record last updated: June 11, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About W. David Kelly, Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

W. DAVID KELLY, DMD (NPI 1033434659) is a healthcare organization registered as an oral and maxillofacial surgery in Worcester, Massachusetts and active in the NPI registry since April 2010. The organization lists W David Kelly, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1033434659
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCROMPTON PARK ORAL SURGERY AND IMPLANT ASSOCIATES, LLC
Location Address59 QUINSIGAMOND AVEWorcester, MA 01610-1867
Mailing Address59 Quinsigamond AveWorcester, MA 01610-1867 · (508) 799-2550 · Fax (508) 756-2923
Phone(508) 799-2550
Fax(508) 756-2923
Organization SubpartNo
Authorized OfficialW David KellySole Member · (508) 799-2550
Enumeration DateApril 7, 2010
Last NPPES UpdateJune 11, 2010
✔ NPI 1033434659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MA · 12222
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
59 QUINSIGAMOND AVE, Worcester, MA 01610
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Other Names 1

Doing Business AsW. David Kelly, Dmd

Other Identifiers 2

Medicaid110009711AMA
Medicare UPINT57152MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CROMPTON PARK ORAL SURGERY AND IMPLANT ASSOCIATES, LLP
Dentist (Oral and Maxillofacial Surgery)
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Worcester County (508) 799-2550
CHRISTOPHER JAY VINTON MD
Orthopaedic Surgery
59 QUINSIGAMOND AVE, WORCESTER COUNTY ORTHOPEDICS
WORCESTER, MA 01610
Worcester County (508) 755-1123
WORCESTER ORAL SURGERY AND IMPLANT CENTERS PLLC
Dentist (Oral and Maxillofacial Surgery)
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Worcester County (508) 872-3072
W DAVID KELLY DMD
Dentist (Oral and Maxillofacial Surgery)
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Worcester County (508) 799-2550
DR. PHILIP J. LAHEY JR. M.D.
Specialist
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Worcester County (508) 755-1559
WORCESTER COUNTY ORTHOPEDICS
Specialist
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Worcester County (508) 755-1208
SETH A. BRAWER PA-C
Physician Assistant (Surgical)
59 QUINSIGAMOND AVE, WORCESTER COUNTY ORTHOPEDICS
WORCESTER, MA 01610
Worcester County (508) 755-1123
PHILIP J LAHEY MD
Orthopaedic Surgery
59 QUINSIGAMOND AVE, STE 200
WORCESTER, MA 01610
Worcester County (508) 755-0240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crompton Park Oral Surgery And Implant Associates, LLC's NPI number?

The NPI number for Crompton Park Oral Surgery And Implant Associates, LLC is 1033434659. It was assigned to this organization in the NPPES registry on April 7, 2010. The provider is doing business as W. David Kelly, Dmd.

Where is Crompton Park Oral Surgery And Implant Associates, LLC located?

Crompton Park Oral Surgery And Implant Associates, LLC is located at 59 Quinsigamond Ave, Worcester, MA 01610. The listed phone number is (508) 799-2550.

What is Crompton Park Oral Surgery And Implant Associates, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Crompton Park Oral Surgery And Implant Associates, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Crompton Park Oral Surgery And Implant Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crompton Park Oral Surgery And Implant Associates, LLC was last updated on June 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.