OrganizationActive
Kelly Dental LLC
NPI 1922435148 · Dental Clinic/Center · Springfield, MO
Provider details
- NPI number
- 1922435148
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Kelly, Dentist(417) 881-1213
- License
- 2013017374 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1655 S. Enterprise Ave Ste. A-3
Springfield, MO 65804
Phone: (417) 881-1213
Fax: (417) 877-8156
Street-level locationGet directions
Mailing address
1655 S Enterprise Ave Ste A3
Springfield, MO 65804-1864
Registry dates
- Enumerated
- 2013-10-02
- Last updated
- 2013-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.