OrganizationActive
Paul Kellum, DDS
NPI 1033525431 · Dental Clinic/Center · Destin, FL
Provider details
- NPI number
- 1033525431
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Henry Kellum, Owner(850) 837-6645
- License
- 10931 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
985 Airport Rd
Destin, FL 32541-2835
Phone: (850) 837-6645
Fax: (850) 650-8553
Street-level locationGet directions
Mailing address
985 Airport Rd
Destin, FL 32541-2835
Other names (DBA / former)
- Other name
- Destin Dental Center
Registry dates
- Enumerated
- 2014-07-07
- Last updated
- 2014-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.