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

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: August 02, 2026.

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

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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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.

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 7 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.