Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457799082 Individual Practitioner Female Practitioner

Dr. Kelly Elizabeth Guedry , DDS

Dentist - General Practice • Clinton, LA

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Guedry, DDS is a registered healthcare professional specializing in Dentist - General Practice in Clinton, LA. Practice services are available at 11990 JACKSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11990 Jackson St

Clinton, LA 707223210

Telephone 2256835292
Fax 2256831310
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clinton, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Clinton, LA (1587 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

CMS Verified: 2024-03-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License LA 6349

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License LA 6349

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1863491 (LA)

Secondary Practice Locations

10631 Hillary Ct

Baton Rouge, LA 708102842

Phone: 2255903835

Practice Associates & Co-Workers

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

40 Associated Practitioners
Stella Brown , LCSW, BCSAC

Social Worker - Clinical

NPI 1013066372

Licensed Clinical Social Worker, BCSAC

Wanda Pezant , APRN

Nurse Practitioner - Family

NPI 1013266162

Advanced Practice Registered Nurse

Cassandra Mcphate , RN

Registered Nurse

NPI 1013579663

Registered Nurse

Shantele Butler , LPC-S

Counselor - Professional

NPI 1033588892

LPCS

Sarah Mccarley , LCSW

Social Worker - Clinical

NPI 1053660118

Licensed Clinical Social Worker

Sandra Collins

Registered Nurse

NPI 1063074672

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location March 19, 2024

Registered at 11990 JACKSON ST, CLINTON, LA 707223210 (Tel: 2256835292)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2024

Dentist (License #6349 in LA)

📍
Updated Practice Location October 11, 2023

Registered at 10631 HILLARY CT, BATON ROUGE, LA 708102842 (Tel: 2255903835)

📍
Updated Business Mailing Address October 11, 2023

Registered at 3526 BON SEJOUR AVE, BATON ROUGE, LA 708205061 (Tel: 9855130681)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2023

Dentist (License #6349 in LA)

NPI Profile Active June 05, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2013

Registered at 4389 HIGHWAY 1, NAPOLEONVILLE, LA 703908513 (Tel: 9855130681)

📍
Updated Business Mailing Address June 05, 2013

Registered at 4389 HIGHWAY 1, NAPOLEONVILLE, LA 70390 (Tel: 9855130681)

👤
Provider Name / Credentials Updated June 05, 2013

Recorded as KELLY GUEDRY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2013

Dentist (License #6349 in LA)

🟢
Initial NPI Registration & Enumeration June 05, 2013

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: 1457799082
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2013
Last Update: March 19, 2024
Sole Proprietor: No

Mailing Address

3526 Bon Sejour Ave

Baton Rouge, LA 708205061

Phone: 9855130681

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.