KELLY FAMILY DENTISTRY, PC
NPI 1457620783
Dentist - General Practice in Huntingburg, IN

Active since December 15, 2011
1690 N MAIN STREET, HUNTINGBURG, IN 47542(812) 683-1112(888) 958-7816 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Family Dentistry, Pc NPPES

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

KELLY FAMILY DENTISTRY, PC (NPI 1457620783) is a healthcare organization registered as a general practice in Huntingburg, Indiana and active in the NPI registry since December 2011. The organization lists Christian H Kelly, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1457620783
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKELLY FAMILY DENTISTRY, PC
Location Address1690 N MAIN STREETHuntingburg, IN 47542
Mailing Address1690 N Main StreetHuntingburg, IN 47542 · (812) 683-1112 · Fax (888) 958-7816
Fax(888) 958-7816
Organization SubpartNo
Authorized OfficialChristian H KellyOwner/dentist · (812) 683-1112
Enumeration DateDecember 15, 2011
Last NPPES UpdateAugust 22, 2018
NPI 1457620783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 12011133A
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.
1690 N MAIN STREET, Huntingburg, IN 47542

Other Identifiers 1

Medicaid200902290AIN

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.

Dentist (General Practice)
1690 N MAIN STREET
HUNTINGBURG, IN 47542

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 Family Dentistry, PC's NPI number?

The NPI number for Kelly Family Dentistry, PC is 1457620783. It was assigned to this organization in the NPPES registry on December 15, 2011.

Where is Kelly Family Dentistry, PC located?

Kelly Family Dentistry, PC is located at 1690 N Main Street, Huntingburg, IN 47542. The listed phone number is (812) 683-1112.

What is Kelly Family Dentistry, PC'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 Kelly Family Dentistry, PC was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.