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SEVERANCE DENTAL, PLLC
NPI 1790288744
Dentist - General Practice in Severance, CO

Active since March 15, 2018
375 W 4TH AVE, SEVERANCE, CO 80550(970) 693-0080 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Severance Dental, Pllc NPPES

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

SEVERANCE DENTAL, PLLC (NPI 1790288744) is a healthcare organization registered as a general practice in Severance, Colorado and active in the NPI registry since March 2018. The organization lists Joshua Chad Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1790288744
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSEVERANCE DENTAL, PLLC
Location Address375 W 4TH AVESeverance, CO 80550-2949
Mailing Address1581 Windshire DrWindsor, CO 80550-5823 · (502) 295-1099
Phone(970) 693-0080
Organization SubpartNo
Authorized OfficialJoshua Chad KellyOwner · (502) 295-1099
Enumeration DateMarch 15, 2018
✔ NPI 1790288744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
375 W 4TH AVE, Severance, CO 80550
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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

Other Providers at the Same Location NPPES

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

JOSHUA CHAD KELLY DMD
Dentist (General Practice)
375 W 4TH AVE
SEVERANCE, CO 80550
Weld County (970) 693-0080

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 Severance Dental, PLLC's NPI number?

The NPI number for Severance Dental, PLLC is 1790288744. It was assigned to this organization in the NPPES registry on March 15, 2018.

Where is Severance Dental, PLLC located?

Severance Dental, PLLC is located at 375 W 4th Ave, Severance, CO 80550. The listed phone number is (970) 693-0080.

What is Severance Dental, PLLC'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 Severance Dental, PLLC was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.