Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992189674 Individual Practitioner Female Practitioner

Dr. Tawaphan W Kelly , DDS

Dentist - General Practice • Abilene, TX

Professional Overview & Biography Verified Profile Summary

Dr. Tawaphan Kelly, DDS is a registered healthcare professional specializing in Dentist - General Practice in Abilene, TX. Practice services are available at 4754 S 14TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4754 S 14th St

Abilene, TX 796054733

Telephone 3254801524
Associated Practice Facility / Clinic
🏢 North Mesa Dental, Pc Facility NPI 1033380142

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Abilene, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
54 Specialists

Practicing in Abilene, TX (10570 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 TX 32776

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 NE 7214

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

1 Associated Practitioners
Dr. Richard Johnsen , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1477790699

Doctor of Dental Medicine

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2017

Registered at 4754 S 14TH ST, ABILENE, TX 796054733 (Tel: 3254801524)

📍
Updated Business Mailing Address April 19, 2017

Registered at 3773 PATRIOT DR APT 101, ABILENE, TX 796061843 (Tel: 4026708963)

👤
Provider Name / Credentials Updated April 19, 2017

Recorded as TAWAPHAN KELLY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Dentist (License #7214 in NE)

NPI Profile Active November 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2016

Registered at 140 EAST 22ND STREET, FREMONT, NE 68025 (Tel: 4027274400)

📍
Updated Business Mailing Address November 16, 2016

Registered at 140 EAST 22ND STREET, FREMONT, NE 68025 (Tel: 4027274400)

👤
Provider Name / Credentials Updated November 16, 2016

Recorded as TAWAPHAN KELLY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2016

Dentist (License #7214 in NE)

🟢
Initial NPI Registration & Enumeration July 13, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Tawaphan Kelly. Be the first to share your experience!

Sign in to leave a review for Dr. Tawaphan Kelly

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1992189674
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2015
Last Update: April 19, 2017
Sole Proprietor: No

Mailing Address

3773 Patriot Dr Apt 101

Abilene, TX 796061843

Phone: 4026708963

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.