Individual provider · Type 1 NPI

Roah Kelly, DMD

General Practice Dentistry · Catoosa, OK

NPI number 1033907423 Active

Practice location

2036 S Miller Ln Ste B
Catoosa, OK 74015-1539

Mailing address

16204 S 89th East Ave
Bixby, OK 74008-4493

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X8066 (OK)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1033907423

Roah Kelly, DMD's National Provider Identifier is 1033907423, issued on Apr 28, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Catoosa, OK. The record was last updated on Apr 28, 2025.