Dr. Susan L. Kelley , DO
Dentist - General Practice • Schofield Barracks, HI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Susan Kelley has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Susan Kelley, DO was a registered Dentist - General Practice practicing in Schofield Barracks, HI. Throughout an active medical career spanning 19 years, Dr. Kelley provided care at the practice location at MCCORNACK ROAD BLDG 660 until profile deactivation on 2025-07-03.
Practice Location & Contact Primary Location
Mccornack Road Bldg 660
Schofield Barracks, HI 96857
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Schofield Barracks, HI
Practicing in Schofield Barracks, HI (740 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 03, 2025
NPI status registered as active in NPPES database
Registered at MCCORNACK ROAD BLDG 660, SCHOFIELD BARRACKS, HI 96857 (Tel: 8084338902)
Registered at 3275 LOWER RD, HONOLULU, HI 968221458 (Tel: 8084338902)
Recorded as SUSAN KELLEY, DO
Dentist (License #DT-1496 in HI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3275 Lower Rd
Honolulu, HI 968221458
Phone: 8084338902
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