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SAMUEL R KELLY DMD LLC
NPI 1386441541
Dentist - General Practice in Salem, OR

Active since February 26, 2025
3380 ASTORIA WAY NE, SALEM, OR 97305(503) 588-7800 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel R Kelly Dmd Llc NPPES

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

SAMUEL R KELLY DMD LLC (NPI 1386441541) is a healthcare organization registered as a general practice in Salem, Oregon and active in the NPI registry since February 2025. The organization lists Samuel Robert Kelly, Member, as its authorized official.

NPPES Registry Identity

NPI1386441541
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSAMUEL R KELLY DMD LLC
Location Address3380 ASTORIA WAY NESalem, OR 97305-1667
Mailing Address3380 Astoria Way NeSalem, OR 97305-1667 · (503) 588-7800
Phone(503) 588-7800
Organization SubpartNo
Authorized OfficialSamuel Robert KellyMember · (503) 991-8897
Enumeration DateFebruary 26, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1386441541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3380 ASTORIA WAY NE, Salem, OR 97305
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SAMUEL ROBERT KELLY
Dentist (General Practice)
3380 ASTORIA WAY NE
SALEM, OR 97305
Marion County (971) 600-0211

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 Samuel R Kelly Dmd LLC's NPI number?

The NPI number for Samuel R Kelly Dmd LLC is 1386441541. It was assigned to this organization in the NPPES registry on February 26, 2025.

Where is Samuel R Kelly Dmd LLC located?

Samuel R Kelly Dmd LLC is located at 3380 Astoria Way NE, Salem, OR 97305. The listed phone number is (503) 588-7800.

What is Samuel R Kelly Dmd LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Samuel R Kelly Dmd LLC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.