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Deactivated NPI 1801887088 Deactivated / Inactive NPI Male Practitioner

Dr. Lawrence Joseph Kelley , DDS

Dentist • Omaha, NE

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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. Lawrence Kelley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 04, 2005
NPI Deactivation Date May 01, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Lawrence Kelley, DDS was a registered Dentist practicing in Omaha, NE. Throughout an active medical career spanning 19 years, Dr. Kelley provided care at the practice location at 4843 S 24TH ST until profile deactivation on 2024-05-01.

Practice Location & Contact Primary Location

Practice Address

4843 S 24th St

Omaha, NE 681072704

Telephone 4027310388
Associated Practice Facility / Clinic
🏢 Irish Taylor Dental Llc Facility NPI 1386876076

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
240 Specialists

Practicing in Omaha, NE (693 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NE 4138

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1417202797

Doctor of Dental Surgery

Dr. Yousuf Al Turkait , DDS

Dentist - General Practice

NPI 1538214952

Doctor of Dental Surgery

Dr. Ekapon Tanthana , DDS

Dentist - General Practice

NPI 1568518959

Doctor of Dental Surgery

Chris Lippold

Dentist - General Practice

NPI 1891854972
Dr. Paul Taylor , DDS

Dentist - General Practice

NPI 1922072305

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 01, 2024

Record deactivated on May 01, 2024

NPI Profile Active November 18, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 18, 2016

Registered at 4843 S 24TH ST, OMAHA, NE 681072704 (Tel: 4027310388)

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Updated Business Mailing Address November 18, 2016

Registered at 4843 S 24TH ST, OMAHA, NE 681072704 (Tel: 4027310388)

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Provider Name / Credentials Updated November 18, 2016

Recorded as LAWRENCE KELLEY, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2016

Dentist (License #4138 in NE)

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Initial NPI Registration & Enumeration November 04, 2005

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: 1801887088
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2005
Last Update: November 18, 2016
Deactivation Date: May 01, 2024

Mailing Address

4843 S 24th St

Omaha, NE 681072704

Phone: 4027310388

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.