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KELLY HARTNETT MCDERMOTT DDS
NPI 1124183330
Dentist - General Practice in Lufkin, TX

Active since December 27, 2006
111 GASLIGHT BLVD, SUITE A, LUFKIN, TX 75904(936) 634-8201(936) 639-2187 Get Directions Write a Review

NPPES record last updated: September 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Hartnett Mcdermott Dds NPPES

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

KELLY HARTNETT MCDERMOTT DDS (NPI 1124183330) is an individual general practice provider in Lufkin, Texas, licensed in Texas (22144) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1124183330
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKELLY HARTNETT MCDERMOTTCredential: DDS
Location Address111 GASLIGHT BLVD, SUITE ALufkin, TX 75904-3188
Mailing Address111 Gaslight Blvd, Suite ALufkin, TX 75904-3188 · (936) 634-8201 · Fax (936) 639-2187
Phone(936) 634-8201
Fax(936) 639-2187
Sole ProprietorYes
Enumeration DateDecember 27, 2006
Last NPPES UpdateSeptember 22, 2010
✔ NPI 1124183330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 22144
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.
111 GASLIGHT BLVD, Lufkin, TX 75904
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Other Names 1

Professional Name (2)Dr. Kelly Hartnett Mcdermott Dds

Other Identifiers 1

Medicaid175004401TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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 Mcdermott's NPI number?

The NPI number for Kelly Mcdermott is 1124183330. It was assigned to this individual provider in the NPPES registry on December 27, 2006. The provider is also known as Dr. Kelly Hartnett Mcdermott Dds.

Where is Kelly Mcdermott located?

Kelly Mcdermott practices at 111 Gaslight Blvd Suite A, Lufkin, TX 75904. The listed phone number is (936) 634-8201.

What is Kelly Mcdermott's specialty?

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

What insurance does Kelly Mcdermott accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kelly Mcdermott 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 Mcdermott was last updated on September 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.