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MATTHEW J. KELLY, DDS, LLC
NPI 1144625773
Dentist - General Practice in Millstadt, IL

Active since October 24, 2014
9 E VAN BUREN ST, MILLSTADT, IL 62260(314) 249-1514 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matthew J. Kelly, Dds, Llc NPPES

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

MATTHEW J. KELLY, DDS, LLC (NPI 1144625773) is a healthcare organization registered as a general practice in Millstadt, Illinois and active in the NPI registry since October 2014. The organization lists Matthew Kelly, Manager, as its authorized official.

NPPES Registry Identity

NPI1144625773
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMATTHEW J. KELLY, DDS, LLC
Location Address9 E VAN BUREN STMillstadt, IL 62260-2009
Mailing Address9 E Van Buren StMillstadt, IL 62260-2009
Phone(314) 249-1514
Organization SubpartNo
Authorized OfficialMatthew KellyManager · (314) 249-1514
Enumeration DateOctober 24, 2014
✔ NPI 1144625773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019030041
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

9 E VAN BUREN ST, Millstadt, IL 62260
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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

Other Providers at the Same Location NPPES

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

DR. MATTHEW KELLY D.D.S.
Dentist (General Practice)
9 E VAN BUREN ST
MILLSTADT, IL 62260
St. Clair County (618) 476-7828

Frequently Asked Questions

What is MATTHEW J. KELLY, DDS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1144625773, enumerated as an "organization" on October 24, 2014.

Where is the provider located?

The provider is located at 9 E VAN BUREN ST MILLSTADT, IL 62260 and the phone number is (314) 249-1514.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.