Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043659568 Individual Practitioner Male Practitioner

Dr. Michael Chase Kelly , DDS

Dentist - General Practice • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Dr. Michael Kelly, DDS is a registered healthcare professional specializing in Dentist - General Practice in Springfield, MO. Practice services are available at 1655 S ENTERPRISE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1655 S Enterprise Ave
A-3

Springfield, MO 658041850

Telephone 4178811213
Associated Practice Facility / Clinic
🏢 Kelly Dental Llc Facility NPI 1922435148

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
120 Specialists

Practicing in Springfield, MO (2113 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 MO 2013017374

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

2 Associated Practitioners
Dr. Elzie Miller , DDS

Dentist - General Practice

NPI 1265429724

Doctor of Dental Surgery

NPI 1649010158

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 June 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2013

Registered at 1655 S ENTERPRISE AVE, A-3, SPRINGFIELD, MO 658041850 (Tel: 4178811213)

📍
Updated Business Mailing Address June 18, 2013

Registered at 1655 S ENTERPRISE AVE, A-3, SPRINGFIELD, MO 658041850 (Tel: 4178811213)

👤
Provider Name / Credentials Updated June 18, 2013

Recorded as MICHAEL KELLY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2013

Dentist (License #2013017374 in MO)

🟢
Initial NPI Registration & Enumeration June 18, 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: 1043659568
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2013
Last Update: June 18, 2013
Sole Proprietor: Yes

Mailing Address

1655 S Enterprise Ave, A-3

Springfield, MO 658041850

Phone: 4178811213

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.