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DR. KELLY ROSS CARLISLE DMD, BS
NPI 1275097859
Dentist in Bountiful, UT

Active since January 28, 2019
535 E 500 S, BOUNTIFUL, UT 84010(801) 292-7807 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2020, May 15, 2019, Jan 28, 2019 (3 updates tracked since 2019).

About Dr. Kelly Ross Carlisle Dmd, Bs NPPES

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

DR. KELLY ROSS CARLISLE DMD, BS (NPI 1275097859) is an individual dentist in Bountiful, Utah, licensed in Utah (11287528-9922) and active in the NPI registry since January 2019. He maintains a secondary practice location in Holladay.

NPPES Registry Identity

NPI1275097859
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KELLY ROSS CARLISLECredential: DMD, BS
Location Address535 E 500 SBountiful, UT 84010-3873
Mailing Address391 W 3200 SBountiful, UT 84010 · (408) 621-7744
Phone(801) 292-7807
Sole ProprietorNo
Enumeration DateJanuary 28, 2019
Last NPPES UpdateApril 9, 20203 updates tracked since enumeration
NPPES CertifiedApril 9, 2020
✔ NPI 1275097859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 11287528-9922
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
535 E 500 S, Bountiful, UT 84010
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Secondary Practice Location 1

Location 14802 S Holladay BlvdHolladay, UT 84117-5407 · Phone (801) 733-7035

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 6

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

DR. KENNETH PUGMIRE SCHWAB PH.D.
Marriage & Family Therapist
535 E 500 S, SUITE 5
BOUNTIFUL, UT 84010
Davis County (801) 910-1000
HAND & ORTHOPEDIC REHABILITATION SPECIALISTS PC
Physical Therapist
535 E 500 S, NO. 8
BOUNTIFUL, UT 84010
Davis County (801) 298-2533
DR. THOMAS FRANCIS PAGE DDS
Dentist (General Practice)
535 E 500 S, SUITE C
BOUNTIFUL, UT 84010
Davis County (801) 292-7807
NANCY NARROD PANTZIRIS M.D.
Psychiatry & Neurology (Psychiatry)
535 E 500 S, SUITE 6
BOUNTIFUL, UT 84010
Davis County (801) 292-2986
DR. CHRIS REED SIMONSEN D.D.S.
Dentist (Pediatric Dentistry)
535 E 500 S
BOUNTIFUL, UT 84010
Davis County (801) 295-5501
DAVID M CHAMBERLAIN DDS
Dentist (General Practice)
535 E 500 S, SUITE #2
BOUNTIFUL, UT 84010
Davis County (801) 292-3501

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 Carlisle's NPI number?

The NPI number for Kelly Carlisle is 1275097859. It was assigned to this individual provider in the NPPES registry on January 28, 2019.

Where is Kelly Carlisle located?

Kelly Carlisle practices at 535 E 500 S, Bountiful, UT 84010. The listed phone number is (801) 292-7807.

What is Kelly Carlisle's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kelly Carlisle 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 Delta Dental PPO and 5 other insurers list Kelly Carlisle 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 Kelly Carlisle was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.