DR. BRIAN J KELLEHER D.D.S.
NPI 1114016771
Dentist - General Practice in Raleigh, NC

Active since October 12, 2006
2609 GLENWOOD AVE, RALEIGH, NC 27608(919) 782-4444(919) 781-8118 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brian J Kelleher D.d.s. NPPES

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

DR. BRIAN J KELLEHER D.D.S. (NPI 1114016771) is an individual general practice provider in Raleigh, North Carolina, licensed in North Carolina (5819) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1114016771
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRIAN J KELLEHERCredential: D.D.S.
Location Address2609 GLENWOOD AVERaleigh, NC 27608-1003
Mailing Address2609 Glenwood AveRaleigh, NC 27608-1003 · (919) 782-4444 · Fax (919) 781-8118
Fax(919) 781-8118
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1114016771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 5819
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.
2609 GLENWOOD AVE, Raleigh, NC 27608

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Dental)
2609 GLENWOOD AVE
RALEIGH, NC 27608
Dentist (General Practice)
2609 GLENWOOD AVE
RALEIGH, NC 27608

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 Brian Kelleher's NPI number?

The NPI number for Brian Kelleher is 1114016771. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Brian Kelleher located?

Brian Kelleher practices at 2609 Glenwood Ave, Raleigh, NC 27608. The listed phone number is (919) 782-4444.

What is Brian Kelleher's specialty?

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

When was this NPI record last updated?

The NPPES record for Brian Kelleher was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.