Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356372262 Individual Practitioner Male Practitioner

Dr. Glenn E. Kelty , DDS

Dentist - General Practice • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Kelty, DDS is a registered healthcare professional specializing in Dentist - General Practice in Mesa, AZ. Practice services are available at 1914 S POWER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1914 S Power Rd
Suite 103

Mesa, AZ 852064376

Telephone 4806414633
Fax 4806419432
Associated Practice Facility / Clinic
🏢 Power Smiles Facility NPI 1578687588

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
228 Specialists

Practicing in Mesa, AZ (2600 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 AZ D1640

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Ryan Wallin , DDS

Dentist - General Practice

NPI 1306801683

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 18, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2007

Registered at 1914 S POWER RD, SUITE 103, MESA, AZ 852064376 (Tel: 4806414633)

📍
Updated Business Mailing Address September 18, 2007

Registered at 1914 S POWER RD, SUITE 103, MESA, AZ 852064376 (Tel: 4806414633)

👤
Provider Name / Credentials Updated September 18, 2007

Recorded as GLENN KELTY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2007

Dentist (License #D1640 in AZ)

🟢
Initial NPI Registration & Enumeration July 06, 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: 1356372262
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: September 18, 2007
Sole Proprietor: No

Mailing Address

1914 S Power Rd, Suite 103

Mesa, AZ 852064376

Phone: 4806414633

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.