Individual provider · Type 1 NPI

Jacob Dean Kelly, DDS

General Practice Dentistry · Roseville, CA

NPI number 1457769457 Active

Practice location

2360 Professional Dr Ste 100
Roseville, CA 95661-7782

Call (916) 782-9479 Map

Fax (916) 782-9479

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X63699 (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 1457769457

Jacob Dean Kelly, DDS's National Provider Identifier is 1457769457, issued on Jul 23, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Roseville, CA. The record was last updated on Jul 1, 2021.