DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KELLY HARRELSON, DDS

Active Sole Proprietor

DR. KELLY HARRELSON, DDS is a Dentist healthcare provider located in ROANOKE, Texas. NPI 1366935801 is currently active in the NPPES registry. Verify at CMS.

Dentist · ROANOKE, TX

Registration Details

NPI Number
1366935801
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2018 (7.9954653151666 yrs)
Last Updated
Jun 10, 2018
Licenses
7046 (OK)
34055 (TX)
Sole Proprietor
Yes

Practice Information

Address
1405 CANNON PKWY
ROANOKE, TX, 762623620
Browse TX providers · Browse ZIP 76262
Phone
9184132774
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in ROANOKE, TX

Name Credential NPI
FATIMA NAUROSE SIRAJ D.M.D 1942683115
SARA ROBISON DMD 1295110377
MELISSA ESQUIVEL DDS 1740982248
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.