HENRY PAUL KELLUM D.D.S.
NPI 1780753673
Dentist - General Practice in Destin, FL

Q: What is Henry Kellum's NPI number?

The NPI number for Henry Kellum is 1780753673. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Q: What is Henry Kellum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Henry Kellum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 07, 2006

985 AIRPORT RD, DESTIN, FL 32541(850) 837-6645 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Henry Paul Kellum D.d.s. NPPES

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

HENRY PAUL KELLUM D.D.S. (NPI 1780753673) is an individual general practice provider in Destin, Florida, licensed in Florida (10931) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1780753673

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameHENRY PAUL KELLUMCredential: D.D.S.

Location Address985 AIRPORT RDDestin, FL 32541-2835

Mailing Address985 Airport RdDestin, FL 32541-2835 · (850) 837-6645

Phone(850) 837-6645

Sole ProprietorYes

Enumeration DateNovember 7, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1780753673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · 10931

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.

985 AIRPORT RD, Destin, FL 32541

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Other Providers at the Same Location NPPES 2

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

PAUL KELLUM, DDS

Clinic/Center (Dental)

985 AIRPORT RD
DESTIN, FL 32541

Okaloosa County (850) 837-6645

CRAIG A LAZENBY DMD

Dentist (General Practice)

985 AIRPORT RD
DESTIN, FL 32541

Okaloosa County (850) 988-1777

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 Henry Kellum's NPI number?

The NPI number for Henry Kellum is 1780753673. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Henry Kellum located?

Henry Kellum practices at 985 Airport Rd, Destin, FL 32541. The listed phone number is (850) 837-6645.

What is Henry Kellum'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 Henry Kellum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.