Dr Shannon Marie Kelly, DMD - Dentist in Irmo, SC

Dr Shannon Marie Kelly, DMD is a Dentist - General Practice based in Irmo, South Carolina. Dr Shannon Marie Kelly is licensed to practice in South Carolina (license number 9158) and her current practice location is 200 N Royal Tower Dr, Irmo, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 732-3090.

NPI number for Dr Shannon Marie Kelly is 1699268821 and her current mailing address is 200 N Royal Tower Dr, Irmo, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699268821.

Contact Information

Dr Shannon Marie Kelly, DMD
200 N Royal Tower Dr,
Irmo, SC 29063
(803) 732-3090
Not Available



Healthcare Provider's Profile

Full NameDr Shannon Marie Kelly
GenderFemale
SpecialityDentist - General Practice
Location200 N Royal Tower Dr, Irmo, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699268821
  • Provider Enumeration Date: 06/12/2018
  • Last Update Date: 07/03/2018

Medical Identifiers

Medical identifiers for Dr Shannon Marie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699268821NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DN23453 (Florida)Secondary
1223G0001XDentist - General Practice 9158 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shannon Marie Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shannon Marie Kelly, DMD
200 N Royal Tower Dr,
Irmo, SC 29063-2747

Ph: (803) 732-3090
Dr Shannon Marie Kelly, DMD
200 N Royal Tower Dr,
Irmo, SC 29063

Ph: (803) 732-3090

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› Verified 3 days ago


Dentist in Irmo, SC

Alexis Pickens Collins, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1774 Dutch Fork Rd, Irmo, SC 29063
Phone: 803-772-7302    Fax: 803-772-7353
Nancy Marie Mandish, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1380 Lake Murray Blvd, Irmo, SC 29063
Phone: 803-781-8114    
Mark G. Pelletier, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 900 Lake Murray Blvd, Suite 200, Irmo, SC 29063
Phone: 803-781-7901    Fax: 803-749-1376
Dr. Thomas Francis Kelly, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 200 North Royal Tower Dr, Irmo, SC 29063
Phone: 803-732-3090    Fax: 803-407-5747
Michelle Lynne Mistele, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3533 Dreher Shoals Rd, Irmo, SC 29063
Phone: 803-732-3001    Fax: 803-732-3190
Dr. Patrick Brian Daley,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Hunter Village Drive, Suite B, Irmo, SC 29063
Phone: 803-407-9580    Fax: 803-407-9579
Dr. Margaret Livingston Phillips, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1028 Kinley Rd, Irmo, SC 29063
Phone: 803-781-0880    

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