DR. MATTHEW KELLY D.D.S.
NPI 1033465042
Dentist - General Practice in Millstadt, IL

Q: What is Matthew Kelly's NPI number?

The NPI number for Matthew Kelly is 1033465042. It was assigned to this individual provider in the NPPES registry on July 27, 2012.

Q: What is Matthew Kelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Kelly was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 27, 2012

9 E VAN BUREN ST, MILLSTADT, IL 62260(618) 476-7828 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Matthew Kelly D.d.s. NPPES

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

DR. MATTHEW KELLY D.D.S. (NPI 1033465042) is an individual general practice provider in Millstadt, Illinois, licensed in Illinois (019030041) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1033465042

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MATTHEW KELLYCredential: D.D.S.

Location Address9 E VAN BUREN STMillstadt, IL 62260-2009

Mailing Address9 E Van Buren StMillstadt, IL 62260-2009

Phone(618) 476-7828

Sole ProprietorNo

Enumeration DateJuly 27, 2012

Last NPPES UpdateOctober 1, 2014

✔ NPI 1033465042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in IL · 019030041✔ Licensed in MO · 2012015661

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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Accepted Insurance

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

Other Providers at the Same Location NPPES

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

MATTHEW J. KELLY, DDS, LLC

Dentist (General Practice)

9 E VAN BUREN ST
MILLSTADT, IL 62260

St. Clair County (314) 249-1514

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 Matthew Kelly's NPI number?

The NPI number for Matthew Kelly is 1033465042. It was assigned to this individual provider in the NPPES registry on July 27, 2012.

Where is Matthew Kelly located?

Matthew Kelly practices at 9 E Van Buren St, Millstadt, IL 62260. The listed phone number is (618) 476-7828.

What is Matthew Kelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Matthew Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Matthew Kelly 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 Matthew Kelly was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.