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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: July 19, 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
Open in Google Maps ↗

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.

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

Frequently Asked Questions

What is Kelley Deaton's NPI number?

The NPI number assigned to this healthcare provider is 1851441802, enumerated as an "individual" on January 11, 2007.

Where is the provider located?

The provider is located at 359 S 4TH ST SUITE C DANVILLE, KY 40422 and the phone number is (859) 236-5703.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

What insurance does Kelley Deaton accept?

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.