OrganizationActive
Kelly M. Gonzales, DDS, PC
NPI 1801060660 · Pediatric Dentistry · Georgetown, TX
Kelly M. Gonzales, DDS, PC is a Pediatric Dentistry organization in Georgetown, TX (NPI 1801060660).
Provider details
- NPI number
- 1801060660
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kelly Gonzales, President(512) 864-9595
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1103 Rivery Blvd
Ste 140
Georgetown, TX 78628-3034
Phone: (512) 864-9595
Street-level locationGet directions
Mailing address
1103 Rivery Blvd
Georgetown, TX 78628-3034
Other names (DBA / former)
- Doing business as
- Star Smiles Pediatric Dentistry
Registry dates
- Enumerated
- 2008-04-14
- Last updated
- 2009-09-23
Frequently asked questions
- What is Kelly M. Gonzales, DDS, PC's NPI number?
- Kelly M. Gonzales, DDS, PC's National Provider Identifier (NPI) is 1801060660, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelly M. Gonzales, DDS, PC?
- Kelly M. Gonzales, DDS, PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Kelly M. Gonzales, DDS, PC located?
- Kelly M. Gonzales, DDS, PC's practice location on file with NPPES is 1103 Rivery Blvd, Georgetown, TX 78628-3034.
- What is Kelly M. Gonzales, DDS, PC's phone number?
- The practice phone number listed in the NPPES registry for Kelly M. Gonzales, DDS, PC is (512) 864-9595.
- Who is the authorized official for Kelly M. Gonzales, DDS, PC?
- The authorized official listed on Kelly M. Gonzales, DDS, PC's NPPES record is Kelly Gonzales, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelly M. Gonzales, DDS, PC's NPI active?
- Yes — Kelly M. Gonzales, DDS, PC's NPI (1801060660) is active in the NPPES registry as of the last update on 2009-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.