Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174018022 Individual Practitioner Male Practitioner

Samuel Robert Kelly

Dentist - General Practice • Salem, OR

Professional Overview & Biography Verified Profile Summary

Samuel Kelly is a registered healthcare professional specializing in Dentist - General Practice in Salem, OR. Practice services are available at 3380 ASTORIA WAY NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3380 Astoria Way Ne

Salem, OR 973051667

Telephone 9716000211
Associated Practice Facility / Clinic
🏢 Samuel R Kelly Dmd Llc Facility NPI 1386441541

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
135 Specialists

Practicing in Salem, OR (1994 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 OR D10822

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

6 Historical Events
NPI Profile Active June 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2018

Registered at 3380 ASTORIA WAY NE, SALEM, OR 973051667 (Tel: 9716000211)

📍
Updated Business Mailing Address June 23, 2018

Registered at 3380 ASTORIA WAY NE, SALEM, OR 973051667 (Tel: 9716000211)

👤
Provider Name / Credentials Updated June 23, 2018

Recorded as SAMUEL KELLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2018

Dentist (License #D10822 in OR)

🟢
Initial NPI Registration & Enumeration June 23, 2018

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: 1174018022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2018
Last Update: June 23, 2018
Sole Proprietor: No

Mailing Address

3380 Astoria Way Ne

Salem, OR 973051667

Phone: 9716000211

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.