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JACOB D KELLY DDS, INC.
NPI 1447821319
Clinic/Center - Dental in Roseville, CA

Active since July 01, 2021
2360 PROFESSIONAL DR STE 100, ROSEVILLE, CA 95661(916) 782-9479(916) 782-3342 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacob D Kelly Dds, Inc. NPPES

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

JACOB D KELLY DDS, INC. (NPI 1447821319) is a healthcare organization registered as a dental in Roseville, California and active in the NPI registry since July 2021. The organization lists Jacob Dean Kelly, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1447821319
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJACOB D KELLY DDS, INC.
Location Address2360 PROFESSIONAL DR STE 100Roseville, CA 95661-7782
Mailing Address2360 Professional Dr Ste 100Roseville, CA 95661-7782 · (916) 782-9479 · Fax (916) 782-3342
Phone(916) 782-9479
Fax(916) 782-3342
Organization SubpartNo
Authorized OfficialJacob Dean KellyOwner Dentist · (916) 782-9479
Enumeration DateJuly 1, 2021
NPPES CertifiedJuly 1, 2021
✔ NPI 1447821319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2360 PROFESSIONAL DR STE 100, Roseville, CA 95661
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Other Providers at the Same Location NPPES

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

DR. JACOB DEAN KELLY D.D.S.
Dentist (General Practice)
2360 PROFESSIONAL DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 782-9479

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 Jacob D Kelly Dds, Inc.'s NPI number?

The NPI number for Jacob D Kelly Dds, Inc. is 1447821319. It was assigned to this organization in the NPPES registry on July 1, 2021.

Where is Jacob D Kelly Dds, Inc. located?

Jacob D Kelly Dds, Inc. is located at 2360 Professional Dr Ste 100, Roseville, CA 95661. The listed phone number is (916) 782-9479.

What is Jacob D Kelly Dds, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jacob D Kelly Dds, Inc. was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.