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KELLY HARRELSON DDS, PLLC
NPI 1205650264
Clinic/Center - Dental in Roanoke, TX

Active since November 14, 2024
1405 CANNON PKWY, ROANOKE, TX 76262(817) 430-1212(817) 491-0154 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Harrelson Dds, Pllc NPPES

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

KELLY HARRELSON DDS, PLLC (NPI 1205650264), doing business as Harrelson Family Dentistry, is a healthcare organization registered as a dental in Roanoke, Texas and active in the NPI registry since November 2024. The organization lists Kelly Harrelson, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1205650264
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKELLY HARRELSON DDS, PLLC
Location Address1405 CANNON PKWYRoanoke, TX 76262-3620
Mailing Address1405 Cannon PkwyRoanoke, TX 76262-3620 · (817) 430-1212 · Fax (817) 491-0154
Phone(817) 430-1212
Fax(817) 491-0154
Organization SubpartNo
Authorized OfficialKelly HarrelsonGeneral Dentist · (918) 413-2774
Enumeration DateNovember 14, 2024
NPPES CertifiedNovember 14, 2024
✔ NPI 1205650264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1405 CANNON PKWY, Roanoke, TX 76262
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Other Names 1

Doing Business AsHarrelson Family Dentistry

Other Providers at the Same Location NPPES 6

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

SARA ROBISON DMD
Dentist
1405 CANNON PKWY
ROANOKE, TX 76262
Denton County (817) 430-1212
DR. ALEJANDRA CRISTINA RIVAS DDS
Dentist (General Practice)
1405 CANNON PKWY
ROANOKE, TX 76262
Denton County (817) 430-1212
DR. KELLY HARRELSON DDS
Dentist
1405 CANNON PKWY
ROANOKE, TX 76262
Denton County (918) 413-2774
DR. MORGAN ELIZABETH JOHNSON DMD
Dentist (General Practice)
1405 CANNON PKWY
ROANOKE, TX 76262
Denton County (817) 430-1212
DR. KIMBERLEY ANNE BAKER D.D.S.
Dentist (General Practice)
1405 CANNON PKWY
ROANOKE, TX 76262
Denton County (817) 430-1212
KIMBERLEY A BAKER, DDS, PA
Dentist (General Practice)
1405 CANNON PKWY
ROANOKE, TX 76262
Denton County (817) 430-1212

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 Harrelson Dds, PLLC's NPI number?

The NPI number for Kelly Harrelson Dds, PLLC is 1205650264. It was assigned to this organization in the NPPES registry on November 14, 2024. The provider is doing business as Harrelson Family Dentistry.

Where is Kelly Harrelson Dds, PLLC located?

Kelly Harrelson Dds, PLLC is located at 1405 Cannon Pkwy, Roanoke, TX 76262. The listed phone number is (817) 430-1212.

What is Kelly Harrelson Dds, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Kelly Harrelson Dds, PLLC was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.