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KELLY DENTAL LLC
NPI 1922435148
Clinic/Center - Dental in Springfield, MO

Active since October 02, 2013
1655 S. ENTERPRISE AVE STE. A-3, SPRINGFIELD, MO 65804(417) 881-1213(417) 877-8156 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Dental Llc NPPES

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

KELLY DENTAL LLC (NPI 1922435148) is a healthcare organization registered as a dental in Springfield, Missouri and active in the NPI registry since October 2013. The organization lists Michael Chase Kelly, Dentist, as its authorized official.

NPPES Registry Identity

NPI1922435148
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKELLY DENTAL LLC
Location Address1655 S. ENTERPRISE AVE STE. A-3Springfield, MO 65804
Mailing Address1655 S Enterprise Ave Ste A3Springfield, MO 65804-1864 · (417) 881-1213 · Fax (417) 877-8156
Phone(417) 881-1213
Fax(417) 877-8156
Organization SubpartNo
Authorized OfficialMichael Chase KellyDentist · (417) 881-1213
Enumeration DateOctober 2, 2013
✔ NPI 1922435148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MO · 2013017374
1655 S. ENTERPRISE AVE STE. A-3, Springfield, MO 65804
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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 Kelly Dental LLC's NPI number?

The NPI number for Kelly Dental LLC is 1922435148. It was assigned to this organization in the NPPES registry on October 2, 2013.

Where is Kelly Dental LLC located?

Kelly Dental LLC is located at 1655 S. Enterprise Ave Ste. A-3, Springfield, MO 65804. The listed phone number is (417) 881-1213.

What is Kelly Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Kelly Dental LLC was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.