IndividualActive
Kelly Carlisle, DMD, BS
NPI 1275097859 · Dentist · Bountiful, UT
Kelly Carlisle, DMD, BS is a Dentist provider in Bountiful, UT (NPI 1275097859).
Provider details
- NPI number
- 1275097859
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD, BS
- Sex
- Male
- Sole proprietor
- No
- License
- 11287528-9922 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
535 E 500 S
Bountiful, UT 84010-3873
Phone: (801) 292-7807
Street-level locationGet directions
Mailing address
391 W 3200 S
Bountiful, UT 84010
Additional practice locations (1)
- 4802 S Holladay BlvdHolladay, UT 84117-5407Phone: (801) 733-7035
Registry dates
- Enumerated
- 2019-01-28
- Last updated
- 2020-04-09
- Certified
- 2020-04-09
Frequently asked questions
- What is Kelly Carlisle's NPI number?
- Kelly Carlisle's National Provider Identifier (NPI) is 1275097859, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Carlisle's specialty?
- Kelly Carlisle is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Kelly Carlisle located?
- Kelly Carlisle's practice location on file with NPPES is 535 E 500 S, Bountiful, UT 84010-3873.
- What is Kelly Carlisle's phone number?
- The practice phone number listed in the NPPES registry for Kelly Carlisle is (801) 292-7807.
- Is Kelly Carlisle's NPI active?
- Yes — Kelly Carlisle's NPI (1275097859) is active in the NPPES registry as of the last update on 2020-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.