1. Home
  2. Directory
  3. Texas
  4. Georgetown
  5. Dentist
  6. NPI Profile

DR. KELLY MARIE GONZALES DDS
NPI 1417128687
Dentist - Pediatric Dentistry in Georgetown, TX

Active since March 17, 2008
1103 RIVERY BLVD, STE. 140, GEORGETOWN, TX 78628(903) 288-3898 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly Marie Gonzales Dds NPPES

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

DR. KELLY MARIE GONZALES DDS (NPI 1417128687) is an individual pediatric dentistry provider in Georgetown, Texas, licensed in Texas (22251) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1417128687
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KELLY MARIE GONZALESCredential: DDS
Location Address1103 RIVERY BLVD, STE. 140Georgetown, TX 78628-3034
Mailing Address1103 Rivery Blvd, Ste. 250, Pmc 157Georgetown, TX 78628-3034
Phone(903) 288-3898
Sole ProprietorNo
Enumeration DateMarch 17, 2008
✔ NPI 1417128687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 22251
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.
1103 RIVERY BLVD, Georgetown, TX 78628
Open in Google Maps ↗

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.

ALISON DAMARODAS CAMPBELL DDS
Dentist (Pediatric Dentistry)
1103 RIVERY BLVD, STE 140
GEORGETOWN, TX 78628
Williamson County (512) 864-9595
DR. JEFFREY CHAD FENDLEY D.D.S.
Dentist (General Practice)
1103 RIVERY BLVD, SUITE 300
GEORGETOWN, TX 78628
Williamson County (512) 868-0238
DR. RANDY S O BRIEN DDS
Dentist (General Practice)
1103 RIVERY BLVD, SUITE 300
GEORGETOWN, TX 78628
Williamson County (512) 868-0238
AFFORDABLE DENTURES & IMPLANTS - TEXAS, PLLC
Dentist (General Practice)
1103 RIVERY BLVD, STE 300
GEORGETOWN, TX 78628
Williamson County (918) 473-0285
KELLY M. GONZALES, DDS, PC
Dentist (Pediatric Dentistry)
1103 RIVERY BLVD, STE 140
GEORGETOWN, TX 78628
Williamson County (512) 864-9595
STEPHEN MARK MEACHAM D.D.S.
Dentist (General Practice)
1103 RIVERY BLVD, 300
GEORGETOWN, TX 78628
Williamson County (512) 868-0238

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 Gonzales's NPI number?

The NPI number for Kelly Gonzales is 1417128687. It was assigned to this individual provider in the NPPES registry on March 17, 2008.

Where is Kelly Gonzales located?

Kelly Gonzales practices at 1103 Rivery Blvd Ste. 140, Georgetown, TX 78628. The listed phone number is (903) 288-3898.

What is Kelly Gonzales's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Gonzales was last updated on March 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.