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MR. MATTHEW KELLEY
NPI 1649777905
Dentist - Oral and Maxillofacial Surgery in Dallas, TX

Active since April 12, 2018
UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 645-3979(214) 648-7620 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2023, Apr 12, 2018 (2 updates tracked since 2018).

About Mr. Matthew Kelley NPPES

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

MR. MATTHEW KELLEY (NPI 1649777905) is an individual oral and maxillofacial surgery provider in Dallas, Texas, licensed in Texas (39266) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1649777905
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMR. MATTHEW KELLEY
Location AddressUT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVDDallas, TX 75390-0001
Mailing Address5343 Elm Spring LnFrisco, TX 75034-1201 · (469) 417-9306
Phone(214) 645-3979
Fax(214) 648-7620
Sole ProprietorYes
Enumeration DateApril 12, 2018
Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1649777905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 39266
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD, Dallas, TX 75390
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 17

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

TOM GEORGE PUNNEN
Student in an Organized Health Care Education/Training Program
UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-2168
AMARACHI AHIARAH
Student in an Organized Health Care Education/Training Program
UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-2168
ALEXANDRA DAUTEL MARTINEZ
Student in an Organized Health Care Education/Training Program
UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3433
EMILY HAYNIE PA-C
Physician Assistant
UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-8800
SOMAYEH BOSHAGH CHEGHAZALI
Student in an Organized Health Care Education/Training Program
UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3111
KRUTI NITIN THAKKAR M.D.
Internal Medicine
UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-2992
KEVIN ALLEN MD
Emergency Medicine
UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-8423
CELINE LEE MD
Student in an Organized Health Care Education/Training Program
UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3433

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 Matthew Kelley's NPI number?

The NPI number for Matthew Kelley is 1649777905. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Matthew Kelley located?

Matthew Kelley practices at Ut Southwestern Medical Center 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 645-3979.

What is Matthew Kelley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Matthew Kelley accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Matthew Kelley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Kelley was last updated on October 24, 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.