Individual provider · Type 1 NPI

Courtney Kelly, DMD

Oral and Maxillofacial Surgery (Dentist) · Eglin Afb, FL

NPI number 1235759077 Active

Practice location

307 Boatner Rd Ste 114
Eglin Afb, FL 32542-1302

Call (850) 883-8324 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN30356 (FL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1235759077

Courtney Kelly, DMD's National Provider Identifier is 1235759077, issued on Apr 22, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Eglin Afb, FL. The record was last updated on Dec 11, 2025.