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SAMUEL ROBERT KELLY
NPI 1174018022
Dentist - General Practice in Salem, OR

Active since June 23, 2018
3380 ASTORIA WAY NE, SALEM, OR 97305(971) 600-0211 Get Directions Write a Review

NPPES record last updated: June 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Robert Kelly NPPES

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

SAMUEL ROBERT KELLY (NPI 1174018022) is an individual general practice provider in Salem, Oregon, licensed in Oregon (D10822) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1174018022
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSAMUEL ROBERT KELLY
Location Address3380 ASTORIA WAY NESalem, OR 97305-1667
Mailing Address3380 Astoria Way NeSalem, OR 97305-1667 · (971) 600-0211
Phone(971) 600-0211
Sole ProprietorNo
Enumeration DateJune 23, 2018
✔ NPI 1174018022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D10822
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.
3380 ASTORIA WAY NE, Salem, OR 97305
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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.

SAMUEL R KELLY DMD LLC
Dentist (General Practice)
3380 ASTORIA WAY NE
SALEM, OR 97305
Marion County (503) 588-7800

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 Samuel Kelly's NPI number?

The NPI number for Samuel Kelly is 1174018022. It was assigned to this individual provider in the NPPES registry on June 23, 2018.

Where is Samuel Kelly located?

Samuel Kelly practices at 3380 Astoria Way NE, Salem, OR 97305. The listed phone number is (971) 600-0211.

What is Samuel Kelly's specialty?

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

What insurance does Samuel Kelly accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 2 other insurers list Samuel 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 Samuel Kelly was last updated on June 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.