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KELLY FAMILY DENTISTRY
NPI 1063764579
Dentist in Grand Island, NE

Active since October 08, 2012
2412 W FAIDLEY AVE, GRAND ISLAND, NE 68803(308) 389-2811(308) 389-2871 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Family Dentistry NPPES

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

KELLY FAMILY DENTISTRY (NPI 1063764579) is a healthcare organization registered as a dentist in Grand Island, Nebraska and active in the NPI registry since October 2012. The organization lists Brad James Kelly, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1063764579
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameKELLY FAMILY DENTISTRY
Location Address2412 W FAIDLEY AVEGrand Island, NE 68803-4327
Mailing Address2412 W Faidley AveGrand Island, NE 68803-4327 · (308) 389-2811 · Fax (308) 389-2871
Phone(308) 389-2811
Fax(308) 389-2871
Organization SubpartNo
Authorized OfficialBrad James KellyOwner/dentist · (308) 389-2811
Enumeration DateOctober 8, 2012
✔ NPI 1063764579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2412 W FAIDLEY AVE, Grand Island, NE 68803
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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

Accepted Insurance

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

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 Kelly Family Dentistry's NPI number?

The NPI number for Kelly Family Dentistry is 1063764579. It was assigned to this organization in the NPPES registry on October 8, 2012.

Where is Kelly Family Dentistry located?

Kelly Family Dentistry is located at 2412 W Faidley Ave, Grand Island, NE 68803. The listed phone number is (308) 389-2811.

What is Kelly Family Dentistry's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kelly Family Dentistry accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Kelly Family Dentistry 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 Kelly Family Dentistry was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.