Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA JO KELLY
Active Sole ProprietorSAMANTHA JO KELLY is a Pediatric Dentistry healthcare provider located in GALLATIN, Tennessee. NPI 1255852661 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · GALLATIN, TN
Registration Details
- NPI Number
- 1255852661
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2017 (8.9201308338392 yrs)
- Last Updated
- Jul 25, 2019
- Licenses
-
LDR170183 (IN)10949 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1710 NASHVILLE PIKE # 102GALLATIN, TN, 37066Browse TN providers · Browse ZIP 37066
- Phone
- 6154617491
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in GALLATIN, TN
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES ANDREW REED | DDS, MSD | 1013161041 |
| DR. BORA KIM | DMD | 1437686920 |
| DR. JONATHAN DAVID SHADBURNE | DMD | 1861981979 |
| DR. TYLER FIELDING MCCUBBINS | DMD | 1447743653 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.