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DR. KELLIE JEAN PACHECO DMD
NPI 1508536194
Dentist - General Practice in Fpo, AP

Active since September 15, 2021

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2023, Aug 9, 2023, Dec 26, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Kellie Jean Pacheco Dmd NPPES

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

DR. KELLIE JEAN PACHECO DMD (NPI 1508536194) is an individual general practice provider in Fpo, AP, licensed in California (DDS106969) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1508536194
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLIE JEAN PACHECOCredential: DMD
Location AddressPSC 475 BOX 1Fpo, AP 96350-1200
Mailing AddressPsc 475 Box 1Fpo, AP 96350-1200 · (315) 243-8808
Phone(315) 243-8808
Sole ProprietorYes
Enumeration DateSeptember 15, 2021
Last NPPES UpdateAugust 31, 20234 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1508536194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · DDS106969
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.
Also ListedDentistTaxonomy 122300000X · License DDS106969 (CA)

Other Providers at the Same Location NPPES 20

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

DR. ANTHONY JAMES MARIN D.D.S.
Dentist (Endodontics)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-5069
JASON PAUL JENSEN OTR/L, CHT
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(315) 243-5348
ANDREA L HAYES MSH, RD/RN
Dietitian, Registered
PSC 475 BOX 1
FPO, AP 96350
(315) 243-8658
MR. SAMUEL FOSTER OT
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(315) 253-4562
KIRSTEN LEANNE SANDOVAL
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(818) 277-9111
DR. MIRIAM BEHPOUR DMD
Dentist (General Practice)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-7144
PHILIP DEAN PETERSON MD
Pathology (Anatomic Pathology & Clinical Pathology)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-8560
JON STOCKTON MD, MPHIL
Anesthesiology
PSC 475 BOX 1
FPO, AP 96350
(303) 898-0208

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 Kellie Pacheco's NPI number?

The NPI number for Kellie Pacheco is 1508536194. It was assigned to this individual provider in the NPPES registry on September 15, 2021.

Where is Kellie Pacheco located?

Kellie Pacheco practices at Psc 475 Box 1, Fpo, AP 96350. The listed phone number is (315) 243-8808.

What is Kellie Pacheco'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 Kellie Pacheco was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.