DR. KELLY HARRELSON DDS
NPI 1366935801
Dentist in Roanoke, TX

Active since June 10, 2018
1405 CANNON PKWY, ROANOKE, TX 76262(918) 413-2774 Get Directions Write a Review

NPPES record last updated: June 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Harrelson Dds NPPES

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

DR. KELLY HARRELSON DDS (NPI 1366935801) is an individual dentist in Roanoke, Texas, licensed in Texas (34055) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1366935801
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KELLY HARRELSONCredential: DDS
Location Address1405 CANNON PKWYRoanoke, TX 76262-3620
Mailing Address3605 Country ClbMoore, OK 73160-7615 · (918) 413-2774
Sole ProprietorYes
Enumeration DateJune 10, 2018
NPI 1366935801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in TX · 34055 Licensed in OK · 7046
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.
1405 CANNON PKWY, Roanoke, TX 76262

Accepted 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.

Clinic/Center (Dental)
1405 CANNON PKWY
ROANOKE, TX 76262
Dentist
1405 CANNON PKWY
ROANOKE, TX 76262
Dentist (General Practice)
1405 CANNON PKWY
ROANOKE, TX 76262
Dentist (General Practice)
1405 CANNON PKWY
ROANOKE, TX 76262
Dentist (General Practice)
1405 CANNON PKWY
ROANOKE, TX 76262
Dentist (General Practice)
1405 CANNON PKWY
ROANOKE, TX 76262

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 Harrelson's NPI number?

The NPI number for Kelly Harrelson is 1366935801. It was assigned to this individual provider in the NPPES registry on June 10, 2018.

Where is Kelly Harrelson located?

Kelly Harrelson practices at 1405 Cannon Pkwy, Roanoke, TX 76262. The listed phone number is (918) 413-2774.

What is Kelly Harrelson's specialty?

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

What insurance does Kelly Harrelson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 10 other insurers list Kelly Harrelson 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 Harrelson was last updated on June 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.