Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205918729 Individual Practitioner Male Practitioner

Dr. Mark W Kelso , DDS

Dentist - General Practice • Nome, AK

Professional Overview & Biography Verified Profile Summary

Dr. Mark Kelso, DDS is a registered healthcare professional specializing in Dentist - General Practice in Nome, AK. Practice services are available at 306 W 5TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

306 W 5th Ave

Nome, AK 997620966

Telephone 9074433311
Fax 9074433139
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Nome, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Nome, AK (346 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AK 695

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Licensed Dentist
695 (AK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Logan Huff , DO

Family Medicine

NPI 1003264029

Doctor of Osteopathic Medicine (D.O.)

NPI 1003395328

AUDCCCA

Kathleen Hinkle , PA-C

Physician Assistant

NPI 1033182779

Physician Assistant (Certified)

Timothy Sagoonick

Technician - Personal Care Attendant

NPI 1033782354
NPI 1043881303

Doctor of Optometry

Kristy Kuzuguk

Technician - Personal Care Attendant

NPI 1053087924

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 306 W 5TH AVE, NOME, AK 997620966 (Tel: 9074433311)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1308, NOME, AK 997621308 (Tel: 9074433309)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK KELSO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #695 in AK)

🟢
Initial NPI Registration & Enumeration October 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205918729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 1308

Nome, AK 997621308

Phone: 9074433309

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.