OrganizationActive
Kelly Harrelson DDS, PLLC
NPI 1205650264 · Dental Clinic/Center · Roanoke, TX
Provider details
- NPI number
- 1205650264
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Harrelson, General Dentist(918) 413-2774
Specialties & taxonomies
Ambulatory Health Care Facilities
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
1405 Cannon Pkwy
Roanoke, TX 76262-3620
Phone: (817) 430-1212
Fax: (817) 491-0154
Street-level locationGet directions
Mailing address
1405 Cannon Pkwy
Roanoke, TX 76262-3620
Other names (DBA / former)
- Doing business as
- Harrelson Family Dentistry
Registry dates
- Enumerated
- 2024-11-14
- Last updated
- 2024-11-14
- Certified
- 2024-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.