KELLY FAMILY DENTAL, PC (NPI# 1497318992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497318992 |
| Entity Type | Organization |
| Organization Name | KELLY FAMILY DENTAL, PC |
| Practice Address |
1820 S Arlington Ave Reno NV 89509-3309 |
| Practice Telephone | 7753298622 |
| Mailing Telephone | 7753298622 |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-04-19 |
| Authorized Official Name | DAVID M KELLY (PRESIDENT/ DDS) |
| Authorized Official Telephone | 7347770289 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Blue Water Dental Care | Doing Business As Name - Organization |
| Street Address |
1820 S ARLINGTON AVE |
| City | RENO |
| State | NV |
| Zip Code | 89509-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
| 1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
| 1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| 1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
| 1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
| Find all providers in zip 89509 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437211455 | Ramin Homanfar | Dentist | 5420 Kietzke Ln Ste 201, Reno, NV 89511-2062 | 2006-12-15 |
| 1811282403 | Robert Lloyd Hill | Dentist | 1055 S Wells Ave, Reno, NV 89502-2550 | 2011-06-13 |
| 1306981659 | Tara Lynn Vanorden | Dentist | 1715 Kuenzli St, Reno, NV 89502-1117 | 2007-02-21 |
| 1275677932 | Marlon Antonio Brown | Dentist | 1715 Kuenzli St, Reno, NV 89502-1117 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780038257 | First Person Care Clinic | Dentist | 1200 S 4th St Ste 109, Las Vegas, NV 89104-1046 | 2016-04-20 |
| 1972743458 | Michael Alan Miyasaki | Dentist | 2095 Village Center Circle, Suite 110, Las Vegas, NV 89134 | 2009-02-24 |
| 1568071827 | Great Smile Dental Pllc | Dentist | 8445 W Flamingo Rd, Las Vegas, NV 89147-4166 | 2020-07-23 |
| 1861012338 | Valudental Decatur Lee Pllc | Dentist | 4880 W Flamingo Rd, Las Vegas, NV 89103-3704 | 2020-04-24 |
| 1639730385 | Daniel Shalev, Dds, Ltd | Dentist | 2510 Wigwam Pkwy Ste 200, Henderson, NV 89074-7116 | 2019-06-24 |
| 1225168735 | Nicholas J Bunk | Dentist | 705 Highway 446, Nixon, NV 89424 | 2007-03-06 |
| 1376606608 | David Lawrence Brizzee | Dentist | 515 Shoshone Cir, Elko, NV 89801-5072 | 2006-12-18 |
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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.