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DR. ANDREW WAYNE KELLY DDS
NPI 1992888242
Dentist - General Practice in Greensboro, NC

Active since October 23, 2006
5509B W FRIENDLY AVE STE 200, GREENSBORO, NC 27410(336) 766-7966(877) 840-4367 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2023, Dec 27, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Andrew Wayne Kelly Dds NPPES

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

DR. ANDREW WAYNE KELLY DDS (NPI 1992888242) is an individual general practice provider in Greensboro, North Carolina, licensed in North Carolina (7350) and active in the NPI registry since October 2006. He maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1992888242
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANDREW WAYNE KELLYCredential: DDS
Location Address5509B W FRIENDLY AVE STE 200Greensboro, NC 27410-4279
Mailing Address137 N Hiddenbrooke DrAdvance, NC 27006-7299 · (336) 766-7966 · Fax (336) 940-5346
Phone(336) 766-7966
Fax(877) 840-4367
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateAugust 14, 20234 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1992888242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NC · 7350✔ Licensed in CA · 35919
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.
5509B W FRIENDLY AVE STE 200, Greensboro, NC 27410
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Secondary Practice Location 1

Location 14550 Country Club RdWinston Salem, NC 27104-3518 · Phone (336) 766-7966 · Fax (877) 840-4367

Other Identifiers 2

Medicaid1932611092NC
Other82-3139362Irs

Other Providers at the Same Location NPPES

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

DR. DAVID ALAN GREWAR BDS
Dentist (General Practice)
5509B W FRIENDLY AVE STE 200
GREENSBORO, NC 27410
Guilford County (336) 763-0051

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 Andrew Kelly's NPI number?

The NPI number for Andrew Kelly is 1992888242. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Andrew Kelly located?

Andrew Kelly practices at 5509B W Friendly Ave Ste 200, Greensboro, NC 27410. The listed phone number is (336) 766-7966.

What is Andrew Kelly'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 Andrew Kelly was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.