Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDALL SHAWN KELLY, D.D.S.
Active Sole ProprietorDR. RANDALL SHAWN KELLY, D.D.S. is a General Dentistry healthcare provider located in ROSEVILLE, California. NPI 1376632430 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ROSEVILLE, CA
Registration Details
- NPI Number
- 1376632430
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2006 (19.853210764635 yrs)
- Last Updated
- Apr 4, 2017
- License
-
29984 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
700 SUNRISE AVESUITE EROSEVILLE, CA, 956614561Browse CA providers · Browse ZIP 95661
- Phone
- 9167731122
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ROSEVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ALEXANDER HOMER MALICK | D.M.D. | 1275524134 |
| DR. ALAN C PAN | D.D.S. | 1891759262 |
| DR. ANSON HOO YIN KWONG | D.D.S | 1306886528 |
| MARK ARENA | DDS | 1043235468 |
| TERESA MARIE HALL | DDS | 1023033446 |
| JEFFREY MCCLURE | DDS | 1487679809 |
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.