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Active NPI 1578505038 Individual Practitioner Female Practitioner

Dr. Kelli L Ettelbrick , DDS, MS

Dentist - Pediatric Dentistry • Frisco, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kelli Ettelbrick, DDS, MS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Frisco, TX. Practice services are available at 8380 WARREN PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8380 Warren Pkwy
Suite 400

Frisco, TX 750344198

Telephone 2143870099
Fax 2143870104
Associated Practice Facility / Clinic
🏢 Foundation Health Physical Therapy Facility NPI 1629002746

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Frisco, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
19 Specialists

Practicing in Frisco, TX (1046 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 - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License TX 19146

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
090844401 (TX)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Ty Hinze , DDS

Dentist - Pediatric Dentistry

NPI 1639364797

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 July 27, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2009

Registered at 8380 WARREN PKWY, SUITE 400, FRISCO, TX 750344198 (Tel: 2143870099)

📍
Updated Business Mailing Address July 27, 2009

Registered at 8380 WARREN PKWY, SUITE 400, FRISCO, TX 750344198 (Tel: 2143870099)

👤
Provider Name / Credentials Updated July 27, 2009

Recorded as KELLI ETTELBRICK, D.D.S., M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2009

Dentist (License #19146 in TX)

🟢
Initial NPI Registration & Enumeration June 11, 2006

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: 1578505038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2006
Last Update: July 27, 2009
Sole Proprietor: No
Update or Correct Profile

Mailing Address

8380 Warren Pkwy, Suite 400

Frisco, TX 750344198

Phone: 2143870099

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.