OrganizationActive
Timothy L Kelly Dental Prof. LLC
NPI 1710433123 · Dentist · Rapid City, SD
Timothy L Kelly Dental Prof. LLC is a Dentist organization in Rapid City, SD (NPI 1710433123).
Provider details
- NPI number
- 1710433123
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Timothy Kelly, Owner(605) 593-0037
- License
- D0505 (SD)
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
9 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
1600 Mountain View Rd Ste 104
Rapid City, SD 57702-4354
Phone: (605) 593-0037
Fax: (605) 593-8351
Street-level locationGet directions
Mailing address
1600 Mountain View Rd Ste 104
Rapid City, SD 57702-4354
Other names (DBA / former)
- Doing business as
- Rushmore Dental
Registry dates
- Enumerated
- 2016-08-27
- Last updated
- 2016-08-27
Frequently asked questions
- What is Timothy L Kelly Dental Prof. LLC's NPI number?
- Timothy L Kelly Dental Prof. LLC's National Provider Identifier (NPI) is 1710433123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Timothy L Kelly Dental Prof. LLC?
- Timothy L Kelly Dental Prof. LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Timothy L Kelly Dental Prof. LLC located?
- Timothy L Kelly Dental Prof. LLC's practice location on file with NPPES is 1600 Mountain View Rd Ste 104, Rapid City, SD 57702-4354.
- What is Timothy L Kelly Dental Prof. LLC's phone number?
- The practice phone number listed in the NPPES registry for Timothy L Kelly Dental Prof. LLC is (605) 593-0037.
- Who is the authorized official for Timothy L Kelly Dental Prof. LLC?
- The authorized official listed on Timothy L Kelly Dental Prof. LLC's NPPES record is Timothy Kelly, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Timothy L Kelly Dental Prof. LLC's NPI active?
- Yes — Timothy L Kelly Dental Prof. LLC's NPI (1710433123) is active in the NPPES registry as of the last update on 2016-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.