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DR. KELLY ELIZABETH CANAVAN DDS
NPI 1720645971
Dentist - General Practice in Chicago, IL

Active since May 23, 2019
8301 S HOLLAND RD STE B, CHICAGO, IL 60620(773) 488-2444 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2019, May 23, 2019 (2 updates tracked since 2019).

About Dr. Kelly Elizabeth Canavan Dds NPPES

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

DR. KELLY ELIZABETH CANAVAN DDS (NPI 1720645971) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.032392) and active in the NPI registry since May 2019. She maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1720645971
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLY ELIZABETH CANAVANCredential: DDS
Location Address8301 S HOLLAND RD STE BChicago, IL 60620-1303
Mailing Address37 W 8th Ave Unit 1Columbus, OH 43201-2301 · (513) 604-1721
Phone(773) 488-2444
Sole ProprietorNo
Enumeration DateMay 23, 2019
Last NPPES UpdateOctober 24, 20192 updates tracked since enumeration
✔ NPI 1720645971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IL · 019.032392✔ Licensed in OH · 30.025723
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.
8301 S HOLLAND RD STE B, Chicago, IL 60620
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Secondary Practice Location 1

Location 1305 W 12th AveColumbus, OH 43210-1267 · Phone (614) 292-2622

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

TAMANNA AZIM
Dentist
8301 S HOLLAND RD STE B
CHICAGO, IL 60620
Cook County (773) 488-2444
DR. CHRIS NOH
Dentist (General Practice)
8301 S HOLLAND RD STE B
CHICAGO, IL 60620
Cook County (773) 488-2444
JOWANA ALALAMAT
Dentist (General Practice)
8301 S HOLLAND RD STE B
CHICAGO, IL 60620
Cook County (773) 488-2444
NICKOLAS JI KIM DDS
Dentist (General Practice)
8301 S HOLLAND RD STE B
CHICAGO, IL 60620
Cook County (312) 274-4524
AARON MATTHEW KUTINSKY DDS
Dentist (General Practice)
8301 S HOLLAND RD STE B
CHICAGO, IL 60620
Cook County (773) 488-2444
ANNA CORINNA CORINNA LIM DMD
Dentist
8301 S HOLLAND RD STE B
CHICAGO, IL 60620
Cook County (773) 488-2444

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 Canavan's NPI number?

The NPI number for Kelly Canavan is 1720645971. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Kelly Canavan located?

Kelly Canavan practices at 8301 S Holland Rd Ste B, Chicago, IL 60620. The listed phone number is (773) 488-2444.

What is Kelly Canavan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kelly Canavan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kelly Canavan 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 Kelly Canavan was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.