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SAMANTHA JO KELLY
NPI 1255852661
Dentist - Pediatric Dentistry in Gallatin, TN

Active since July 06, 2017
1710 NASHVILLE PIKE # 102, GALLATIN, TN 37066(615) 461-7491 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 25, 2019, Jul 6, 2017 (2 updates tracked since 2017).

About Samantha Jo Kelly NPPES

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

SAMANTHA JO KELLY (NPI 1255852661) is an individual pediatric dentistry provider in Gallatin, Tennessee, licensed in Tennessee (10949) and active in the NPI registry since July 2017. She maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1255852661
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameSAMANTHA JO KELLY
Location Address1710 NASHVILLE PIKE # 102Gallatin, TN 37066
Mailing Address1710 Nashville PikeGallatin, TN 37066-3154 · (615) 461-7491
Phone(615) 461-7491
Sole ProprietorYes
Enumeration DateJuly 6, 2017
Last NPPES UpdateJuly 25, 20192 updates tracked since enumeration
✔ NPI 1255852661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TN · 10949
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License LDR170183 (IN)
1710 NASHVILLE PIKE # 102, Gallatin, TN 37066
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Secondary Practice Location 1

Location 1705 Riley Hospital DrIndianapolis, IN 46202-5109 · Phone (317) 944-3865

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 Alabama and more.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 Samantha Kelly's NPI number?

The NPI number for Samantha Kelly is 1255852661. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Samantha Kelly located?

Samantha Kelly practices at 1710 Nashville Pike # 102, Gallatin, TN 37066. The listed phone number is (615) 461-7491.

What is Samantha Kelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Samantha Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Samantha 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 Samantha Kelly was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.