Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366935801 Individual Practitioner Female Practitioner

Dr. Kelly Harrelson , DDS

Dentist • Roanoke, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Harrelson, DDS is a registered healthcare professional specializing in Dentist in Roanoke, TX. Practice services are available at 1405 CANNON PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1405 Cannon Pkwy

Roanoke, TX 762623620

Telephone 9184132774
Associated Practice Facility / Clinic
🏢 Kimberley A Baker, Dds, Pa Facility NPI 1750314761

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Roanoke, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Roanoke, TX (6851 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 TX 34055

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License OK 7046

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

4 Associated Practitioners
NPI 1295110377

Doctor of Dental Medicine

Dr. Alejandra Rivas , DDS

Dentist - General Practice

NPI 1316100712

Doctor of Dental Surgery

Dr. Morgan Johnson , DMD

Dentist - General Practice

NPI 1366935850

Doctor of Dental Medicine

Dr. Kimberley Baker , DDS

Dentist - General Practice

NPI 1689939845

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 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2018

Registered at 1405 CANNON PKWY, ROANOKE, TX 762623620 (Tel: 9184132774)

📍
Updated Business Mailing Address June 10, 2018

Registered at 3605 COUNTRY CLB, MOORE, OK 731607615 (Tel: 9184132774)

👤
Provider Name / Credentials Updated June 10, 2018

Recorded as KELLY HARRELSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2018

Dentist (License #7046 in OK)

🟢
Initial NPI Registration & Enumeration June 10, 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: 1366935801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2018
Last Update: June 10, 2018
Sole Proprietor: Yes

Mailing Address

3605 Country Clb

Moore, OK 731607615

Phone: 9184132774

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.