DR. KELLI DMD, PA (NPI# 1992206593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992206593 |
| Entity Type | Organization |
| Organization Name | DR. KELLI DMD, PA |
| Practice Address |
1729 Heritage Trl # 904 Naples FL 34112-7591 |
| Practice Telephone | 2393041900 |
| Practice Fax Number | 2393041917 |
| Mailing Telephone | 2393041900 |
| Mailing Fax Number | 2393041917 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Authorized Official Name | DR. KELLI EBERHARDT SALOMON (OWNER) |
| Authorized Official Telephone | 2393041900 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN22050 | FL | Ambulatory Health Care Facilities |
| Street Address |
1729 HERITAGE TRL # 904 |
| City | NAPLES |
| State | FL |
| Zip Code | 34112-7591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487149167 | Scott Delboccio Pa | Clinic/Center | 1729 Heritage Trl # 904, Naples, FL 34112-7591 | 2018-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548887508 | Warly Gonzalez Moreno | Nurse Practitioner | 6188 Parkers Hammock Rd, Naples, FL 34112 | 2020-06-25 |
| 1568944056 | Rx Care 10 LLC | Pharmacy | 3975 Tamiami Trail E, Naples, FL 34112 | 2018-08-31 |
| 1174030373 | Edward H Sharon | Dentist | 2355 Stanford Court, Unit 701, Naples, FL 34112 | 2018-01-09 |
| 1740708379 | Stephanie Eugene | Home Health Aide | 4101 Rose Ave Unit A, Naples, FL 34112 | 2017-09-04 |
| 1730624883 | Danielle Dora Byers | Nurse Practitioner | 4525 Thomasson Dr Ste 104, Naples, FL 34112 | 2016-12-28 |
| 1457787798 | Christine Claire Oswald | Counselor | 2500 Airport Pulling Rd, Suite 207, Naples, FL 34112 | 2013-09-18 |
| 1750628467 | Jennifer June Johnson | Pharmacist | 3350 Tamiami Trail E, Publix Pharmacy, Naples, FL 34112 | 2013-01-15 |
| 1306190384 | Leeann Dunnington | Nurse Practitioner | 4524 Thomasson Dr, Naples, FL 34112 | 2012-10-30 |
| 1124346945 | Gary Vaughn Burkholder | Dentist | 3301 Tamiami Trail East, Naples, FL 34112 | 2010-05-05 |
| 1912220559 | Mayquel Salgado | Massage Therapist | 2345 Stanford Ct Ste 603, Naples, FL 34112 | 2010-03-10 |
| Find all providers in zip 34112 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363685 | Naples Family Dentist, Inc. | Clinic/Center | 877 111th Ave N Ste 3, Naples, FL 34108-1853 | 2020-07-13 |
| 1306478243 | Makaela Manner Kunstler, Dmd, Pa | Clinic/Center | 2905 Davis Blvd, Naples, FL 34104-4338 | 2020-02-09 |
| 1528629466 | Altamar Health LLC | Clinic/Center | 6605 Hillway Cir Ste 100, Naples, FL 34112-8754 | 2019-06-21 |
| 1699121574 | Adriana Gabaldon II | Clinic/Center | 3877 Tamiami Trl E Unit 140, Naples, FL 34112-6230 | 2016-05-10 |
| 1417385543 | Pine Plaza Dental Care, Inc | Clinic/Center | 12435 Collier Blvd, Suite #105, Naples, FL 34116-6041 | 2013-10-29 |
| 1336497064 | Adriana Gabaldon Dds | Clinic/Center | 12355 Collier Blvd, Suite A, Naples, FL 34116-6027 | 2012-08-28 |
| 1467683631 | Keep Smiling Braces, LLC | Clinic/Center | 3411 Tamiami Trl N, Suite 200, Naples, FL 34103-3700 | 2009-08-05 |
| 1073707741 | Collier Health Services Inc | Clinic/Center | 1749 Heritage Trl # 801, Naples, FL 34112-7591 | 2007-09-05 |
| 1104870153 | Val Daniyar Dmd Pa | Clinic/Center | 681 Goodlette Rd N Ste 110, Naples, FL 34102-5612 | 2006-05-22 |
| 1508407750 | Miller Dental Group | Clinic/Center | 7219 Radio Rd, Naples, FL 34104-6707 | 2019-09-30 |
| Find all providers in NAPLES | ||||
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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.