BRADLEY KELLEY DMD
NPI 1508265513
Dentist in Fort Leonard Wood, MO

Active since August 14, 2014
6958 NEBRASKA AVE, FORT LEONARD WOOD, MO 65473(573) 596-0364 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bradley Kelley Dmd NPPES

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

BRADLEY KELLEY DMD (NPI 1508265513) is an individual dentist in Fort Leonard Wood, Missouri, licensed in Idaho (D-4583) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1508265513
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBRADLEY KELLEYCredential: DMD
Location Address6958 NEBRASKA AVEFort Leonard Wood, MO 65473-1618
Mailing Address6958 Nebraska AveFort Leonard Wood, MO 65473-1618 · (573) 596-0364
Sole ProprietorNo
Enumeration DateAugust 14, 2014
NPI 1508265513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in ID · D-4583
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.

6958 NEBRASKA AVE, Fort Leonard Wood, MO 65473

Accepted Insurance

Other Providers at the Same Location NPPES 15

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

Dentist
6958 NEBRASKA AVE
FORT LEONARD WOOD, MO 65473
Dentist
6958 NEBRASKA AVE, BLDG 1608
FORT LEONARD WOOD, MO 65473
Dentist
6958 NEBRASKA AVE, 1608
FT LEONARD WD, MO 65473
Dentist
6958 NEBRASKA AVE, BLDG 1608
FORT LEONARD WOOD, MO 65473
Dental Hygienist
6958 NEBRASKA AVE
FORT LEONARD WOOD, MO 65473
Dentist (General Practice)
6958 NEBRASKA AVE
FORT LEONARD WOOD, MO 65473
Dentist
6958 NEBRASKA AVE
FORT LEONARD WOOD, MO 65473
Dentist
6958 NEBRASKA AVE
FORT LEONARD WOOD, MO 65473

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508265513, enumerated as an "individual" on August 14, 2014.

The provider is located at 6958 NEBRASKA AVE FORT LEONARD WOOD, MO 65473 and the phone number is (573) 596-0364.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.