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CHILDRENS DENTISTRY AT HAMILTON MILL & GAINESVILLE
NPI 1740452465
Dentist - Pediatric Dentistry in Gainesville, GA

Active since April 02, 2008
655 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501(770) 539-9110(678) 714-8388 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Childrens Dentistry At Hamilton Mill & Gainesville NPPES

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

CHILDRENS DENTISTRY AT HAMILTON MILL & GAINESVILLE (NPI 1740452465) is a healthcare organization registered as a pediatric dentistry in Gainesville, Georgia and active in the NPI registry since April 2008. The organization lists Diane C Kelly, Owner - And Provider, as its authorized official.

NPPES Registry Identity

NPI1740452465
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDIANE C KELLY DMD, PC
Location Address655 JESSE JEWELL PKWY SEGainesville, GA 30501
Mailing Address655 Jesse Jewell Pkwy SeGainesville, GA 30501 · (770) 539-9110 · Fax (678) 714-8388
Phone(770) 539-9110
Fax(678) 714-8388
Organization SubpartNo
Authorized OfficialDiane C KellyOwner - And Provider · (678) 714-7011
Enumeration DateApril 2, 2008
Last NPPES UpdateAugust 19, 2008
✔ NPI 1740452465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DNO12082
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
655 JESSE JEWELL PKWY SE, Gainesville, GA 30501
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Other Names 1

Doing Business AsChildrens Dentistry At Hamilton Mill & Gainesville

Other Identifiers 10

Medicaid514725717BGA
Medicaid609963109EGA
Medicaid000851727BGA
Medicaid919057925BGA
Medicaid000046582YGA
Medicaid186794814AGA
Medicaid191450941AGA
Medicaid390489607JGA
Medicaid609963109LGA
Medicaid218323780AGA

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 MULTIPLE SINGLE SPECIALTY GROUP

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.

KRISI APRIL PROBERT OT
Occupational Therapist
655 JESSE JEWELL PKWY SE, SUITE C
GAINESVILLE, GA 30501
Hall County (770) 539-9001
DR. MARLYN BETANCOURT D.M.D.
Dentist (General Practice)
655 JESSE JEWELL PKWY SE, SUITE E
GAINESVILLE, GA 30501
Hall County (770) 539-9110
MR. HUGH COLBY CORNELSON FNP-C
Nurse Practitioner (Family)
655 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 532-7092
ELIZABETH MARIE HAWKINS PT
Physical Therapist
655 JESSE JEWELL PKWY SE, SUITE C
GAINESVILLE, GA 30501
Hall County (770) 539-9001
MRS. KAYLEIGH DYCHES BISKUP FNP-C
Nurse Practitioner
655 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4500
DONALD ROGER WILLERS M.D.
Orthopaedic Surgery
655 JESSE JEWELL PKWY SE, STE B
GAINESVILLE, GA 30501
Hall County (770) 532-7092
ALLISON LEIGH HEDDEN PA-C
Physician Assistant (Surgical)
655 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 533-7288
WILLIAM JARED JINKS PT
Physical Therapist
655 JESSE JEWELL PKWY SE, SUITE C
GAINESVILLE, GA 30501
Hall County (770) 539-9001

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 Diane C Kelly Dmd, PC's NPI number?

The NPI number for Diane C Kelly Dmd, PC is 1740452465. It was assigned to this organization in the NPPES registry on April 2, 2008. The provider is doing business as Childrens Dentistry At Hamilton Mill & Gainesville.

Where is Diane C Kelly Dmd, PC located?

Diane C Kelly Dmd, PC is located at 655 Jesse Jewell Pkwy SE, Gainesville, GA 30501. The listed phone number is (770) 539-9110.

What is Diane C Kelly Dmd, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Diane C Kelly Dmd, PC was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.