Individual provider · Type 1 NPI

Randall Shawn Kelly, DDS

General Practice Dentistry · Roseville, CA

NPI number 1376632430 Active

Practice location

700 Sunrise Ave, Suite E
Roseville, CA 95661-4561

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X29984 (CA)

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 1376632430

Randall Shawn Kelly, DDS's National Provider Identifier is 1376632430, issued on Oct 12, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Roseville, CA. The record was last updated on Apr 4, 2017.