DR. KELLY ANN KIRTLAND DDS,MS,MA
NPI 1275535320
Dentist - Pediatric Dentistry in Portland, ME

Active since June 01, 2005
716 STEVENS AVE, PORTLAND, ME 04103(207) 221-4634 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kelly Ann Kirtland Dds,ms,ma NPPES

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

DR. KELLY ANN KIRTLAND DDS,MS,MA (NPI 1275535320) is an individual pediatric dentistry provider in Portland, Maine, licensed in Maine (DEN4848) and active in the NPI registry since June 2005. She maintains a secondary practice location in Glen Ellyn.

NPPES Registry Identity

NPI1275535320
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KELLY ANN KIRTLANDCredential: DDS,MS,MA
Location Address716 STEVENS AVEPortland, ME 04103-2693
Mailing Address716 Stevens AvePortland, ME 04103-2693 · (207) 221-4634
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateMay 26, 2021
NPPES CertifiedApril 5, 2021
NPI 1275535320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in ME · DEN4848
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.
716 STEVENS AVE, Portland, ME 04103

Secondary Practice Location 1

Location 1493 Duane StGlen Ellyn, IL 60137-4501 · Phone (630) 469-7696 · Fax (630) 469-7877

Accepted 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.

Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Dentist
716 STEVENS AVE
PORTLAND, ME 04103
Physician Assistant
716 STEVENS AVE
PORTLAND, ME 04103
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103

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 Kirtland's NPI number?

The NPI number for Kelly Kirtland is 1275535320. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Kelly Kirtland located?

Kelly Kirtland practices at 716 Stevens Ave, Portland, ME 04103. The listed phone number is (207) 221-4634.

What is Kelly Kirtland's specialty?

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

What insurance does Kelly Kirtland accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 13 other insurers list Kelly Kirtland 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 Kirtland was last updated on May 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.