OrganizationActive
Brian J Kelleher DDS PA
NPI 1427147875 · Dental Clinic/Center · Raleigh, NC
Provider details
- NPI number
- 1427147875
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Kelleher, President(919) 782-4444
- License
- 1756 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2609 Glenwood Ave
Raleigh, NC 27608-1003
Phone: (919) 782-4444
Fax: (919) 781-8118
Street-level locationGet directions
Mailing address
2609 Glenwood Ave
Raleigh, NC 27608-1003
Other names (DBA / former)
- Other name
- Glenwood Village Dentistry
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.