OrganizationActive
Severance Dental, PLLC
NPI 1790288744 · General Practice Dentistry · Severance, CO
Provider details
- NPI number
- 1790288744
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Joshua Kelly, Owner(502) 295-1099
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
375 W 4th Ave
Severance, CO 80550-2949
Phone: (970) 693-0080
Street-level locationGet directions
Mailing address
1581 Windshire Dr
Windsor, CO 80550-5823
Registry dates
- Enumerated
- 2018-03-15
- Last updated
- 2018-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.