KELLY FAMILY DENTISTRY, PC (NPI# 1457620783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457620783 |
| Entity Type | Organization |
| Organization Name | KELLY FAMILY DENTISTRY, PC |
| Practice Address |
1690 N Main Street Huntingburg IN 47542 |
| Practice Telephone | 8126831112 |
| Practice Fax Number | 8889587816 |
| Mailing Telephone | 8126831112 |
| Mailing Fax Number | 8889587816 |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | CHRISTIAN H KELLY (OWNER/DENTIST) |
| Authorized Official Telephone | 8126831112 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12011133A | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200902290A | 05 |
| Street Address |
1690 N MAIN STREET |
| City | HUNTINGBURG |
| State | IN |
| Zip Code | 47542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801053509 | Christian H Kelly | Dentist | 1690 N Main Street, Huntingburg, IN 47542 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295155356 | Jill Meiring | Chiropractor | 501 East 6th Street, Huntingburg, IN 47542 | 2014-04-16 |
| 1932410818 | Amy D Osborne | Physical Therapy Assistant | 1712 Leland Dr, The Waters of Huntinburg, Huntingburg, IN 47542 | 2010-06-25 |
| 1114120128 | Little Company of Mary Hospital of Indiana, Inc. | Family Medicine | 507 E 19th Street, Huntingburg, IN 47542 | 2007-06-07 |
| 1932228442 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 407 12th St, Huntingburg, IN 47542 | 2007-03-28 |
| 1588772644 | Harry Louis Switzer | Dentist | 517 East 5th Street, Huntingburg, IN 47542 | 2006-08-29 |
| 1700437704 | Christina Oster | Technician | 312 North Washington Street, Huntingburg, IN 47542 | 2019-09-23 |
| 1902464811 | Elizabeth Dellinger | Physical Therapist | 1712 N Leland Dr, Huntingburg, IN 47542 | 2019-06-05 |
| 1235478587 | Shannon Elisa Wood | Dentist | 517 E 5th St, Huntingburg, IN 47542-1004 | 2013-02-06 |
| 1417310566 | Huntingburg Family Dentistry | Clinic/Center | 517 E 5th St, Huntingburg, IN 47542-1004 | 2016-04-05 |
| 1861833147 | Huntinburg Family Dentistry | Dentist | 517 E 5th St, Huntingburg, IN 47542-1004 | 2013-07-15 |
| Find all providers in zip 47542 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235478587 | Shannon Elisa Wood | Dentist | 517 E 5th St, Huntingburg, IN 47542-1004 | 2013-02-06 |
| 1801053509 | Christian H Kelly | Dentist | 1690 N Main Street, Huntingburg, IN 47542 | 2008-05-20 |
| 1790893410 | Brian M Wagner | Dentist | 7120 S Us Highway 231, Huntingburg, IN 47542-9319 | 2006-08-25 |
| 1225046592 | Kenneth R Troutman | Dentist | 202 E 17th St, Huntingburg, IN 47542-9565 | 2006-08-03 |
| 1912001447 | Troutman Family Dentistry | Dentist | 202 E 17th St, Huntingburg, IN 47542-9565 | 2006-09-13 |
| 1689779175 | Alan Paul Friz | Dentist | 202 E 17th St, Huntingburg, IN 47542-9565 | 2006-09-13 |
| 1124135900 | Michael G Warren | Dentist | 7120 S Us Highway 231, Huntingburg, IN 47542-9319 | 2006-08-25 |
| 1861500423 | Smile Center P.C. | Dentist | 7120 S Us Highway 231, Huntingburg, IN 47542-9319 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912121 | Danville Downtown Dentistry LLC | Dentist | 94 S Tennessee St, Danville, IN 46122-1836 | 2020-11-05 |
| 1558968024 | Connor Michael Kirtley | Dentist | 325 N Walnut St Ste A, Seymour, IN 47274-2113 | 2020-10-07 |
| 1467067819 | Hewlett Zaremba LLC | Dentist | 309 N Bittersweet Rd # 105, Mishawaka, IN 46544-4220 | 2020-09-12 |
| 1679186258 | James Patrick Thompson | Dentist | 5909 Wheelock Rd Ste 102, Fort Wayne, IN 46835-9258 | 2020-08-25 |
| 1770194698 | Dental Professionals of In, P.C. | Dentist | 8570 Northwest Blvd, Indianapolis, IN 46278-1383 | 2020-08-13 |
| 1407466055 | Marcus Bigot | Dentist | 13590b N Meridian St Ste 101, Carmel, IN 46032-1409 | 2020-08-07 |
| 1639788219 | Karima N Lubbadeh | Dentist | 12574 Promise Creek Ln Ste 110, Fishers, IN 46038-7713 | 2020-07-29 |
| 1689282196 | Eric Gerald Hollensbe | Dentist | 3415 S Lafountain St Ste I, Kokomo, IN 46902-3826 | 2020-07-21 |
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1578181194 | Trisha Johnson Cahill | Dentist | 1202 W Buena Vista Rd Ste 206, Evansville, IN 47710-5134 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGBURG |
| Zip Code | 47542 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.