DR. COURTNEY KELLY DMD
NPI 1235759077
Dentist - Oral and Maxillofacial Surgery in Eglin Afb, FL

Q: What is Courtney Kelly's NPI number?

The NPI number for Courtney Kelly is 1235759077. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Q: What is Courtney Kelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Kelly was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 22, 2020

307 BOATNER RD STE 114, EGLIN AFB, FL 32542(850) 883-8324 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2025, Oct 10, 2025, Jan 7, 2021 and 2 more (5 updates tracked since 2020).

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About Dr. Courtney Kelly Dmd NPPES

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

DR. COURTNEY KELLY DMD (NPI 1235759077) is an individual oral and maxillofacial surgery provider in Eglin Afb, Florida, licensed in Florida (DN30356) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1235759077

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameDR. COURTNEY KELLYCredential: DMD

Location Address307 BOATNER RD STE 114Eglin Afb, FL 32542-1302

Mailing Address307 Boatner Rd Ste 114Eglin Afb, FL 32542-1302 · (850) 883-8324

Phone(850) 883-8324

Sole ProprietorNo

Enumeration DateApril 22, 2020

Last NPPES UpdateDecember 11, 20255 updates tracked since enumeration

NPPES CertifiedDecember 11, 2025

✔ NPI 1235759077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in FL · DN30356

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

307 BOATNER RD STE 114, Eglin Afb, FL 32542

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Accepted Insurance

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

Other Providers at the Same Location NPPES 20

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

LUCAS RYAN PETKEWITZ DPT

Physical Therapist

307 BOATNER RD STE 114
EGLIN AFB, FL 32542

Okaloosa County (850) 883-8600

DR. JAMES SAXTON

Anesthesiology

307 BOATNER RD STE 114
EGLIN AFB, FL 32542

Okaloosa County (850) 883-9394

BODEN JAMES PORT DO

General Practice

307 BOATNER RD STE 114
EGLIN AFB, FL 32542

Okaloosa County (850) 883-8600

HEATHER DAWN BROCK

Nurse Practitioner (Family)

307 BOATNER RD STE 114
EGLIN, FL 32542

Okaloosa County (850) 883-9042

DR. ANDREW KEITH MATTHIES D.O.

Anesthesiology

307 BOATNER RD STE 114
EGLIN AFB, FL 32542

Okaloosa County (850) 883-9394

ANJELI KRISTEN NAYAR POPE M.D.

Internal Medicine

307 BOATNER RD STE 114
EGLIN AFB, FL 32542

Okaloosa County (850) 883-9906

DR. ERIC MICHAEL WEISS MD

General Practice

307 BOATNER RD STE 114
EGLIN AFB, FL 32542

Okaloosa County (850) 883-8600

CAMRON BOWMAN DO

Military Health Care Provider

307 BOATNER RD STE 114
EGLIN AFB, FL 32542

Okaloosa County (850) 883-8288

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 Courtney Kelly's NPI number?

The NPI number for Courtney Kelly is 1235759077. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Courtney Kelly located?

Courtney Kelly practices at 307 Boatner Rd Ste 114, Eglin Afb, FL 32542. The listed phone number is (850) 883-8324.

What is Courtney Kelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Courtney Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Courtney 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 Courtney Kelly was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.