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DR. KELLEY 'CORKY' DEATON III DMD
NPI 1851441802
Dentist - General Practice in Danville, KY

Active since January 11, 2007
359 S 4TH ST, SUITE C, DANVILLE, KY 40422(859) 236-5703(859) 936-1916 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelley 'corky' Deaton Iii Dmd NPPES

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

DR. KELLEY 'CORKY' DEATON III DMD (NPI 1851441802) is an individual general practice provider in Danville, Kentucky, licensed in Kentucky (5843) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1851441802
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLEY 'CORKY' DEATON IIICredential: DMD
Location Address359 S 4TH ST, SUITE CDanville, KY 40422-2078
Mailing Address359 S 4th St, Suite CDanville, KY 40422-2078 · (859) 236-5703 · Fax (859) 936-1916
Phone(859) 236-5703
Fax(859) 936-1916
Sole ProprietorYes
Enumeration DateJanuary 11, 2007
Last NPPES UpdateMarch 11, 2015
✔ NPI 1851441802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 5843
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.
Also ListedDentistTaxonomy 122300000X · License 5843 (KY)
359 S 4TH ST, Danville, KY 40422
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Other Identifiers 3

Medicaid60058435KY
Other45601382KY · Epsdt Dental Id
Other61-1180059KY · Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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.

TONYA LYNN OWENS
Counselor (Professional)
359 S 4TH ST
DANVILLE, KY 40422
Boyle County (270) 872-5639
DR. MARK C WARD O.D.
Optometrist
359 S 4TH ST
DANVILLE, KY 40422
Boyle County (859) 236-3121

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 Kelley Deaton's NPI number?

The NPI number for Kelley Deaton is 1851441802. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Kelley Deaton located?

Kelley Deaton practices at 359 S 4th St Suite C, Danville, KY 40422. The listed phone number is (859) 236-5703.

What is Kelley Deaton's specialty?

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

What insurance does Kelley Deaton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Montana and 6 other insurers list Kelley Deaton 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 Kelley Deaton was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.