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Roah Kelly, DMD
NPI 1033907423 · General Practice Dentistry · Catoosa, OK
Roah Kelly, DMD is a General Practice Dentistry provider in Catoosa, OK (NPI 1033907423).
Provider details
- NPI number
- 1033907423
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 8066 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
2036 S Miller Ln Ste B
Catoosa, OK 74015-1539
Phone: (918) 937-7660
Approximate (ZIP-level) locationGet directions
Mailing address
16204 S 89th East Ave
Bixby, OK 74008-4493
Registry dates
- Enumerated
- 2025-04-28
- Last updated
- 2025-04-28
- Certified
- 2025-04-27
Frequently asked questions
- What is Roah Kelly's NPI number?
- Roah Kelly's National Provider Identifier (NPI) is 1033907423, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roah Kelly's specialty?
- Roah Kelly is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Roah Kelly located?
- Roah Kelly's practice location on file with NPPES is 2036 S Miller Ln Ste B, Catoosa, OK 74015-1539.
- What is Roah Kelly's phone number?
- The practice phone number listed in the NPPES registry for Roah Kelly is (918) 937-7660.
- Is Roah Kelly's NPI active?
- Yes — Roah Kelly's NPI (1033907423) is active in the NPPES registry as of the last update on 2025-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.