Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538387154 Individual Practitioner Male Practitioner

Dr. Randall James Kelley , DMD

Dentist - General Practice • Provo, UT

Professional Overview & Biography Verified Profile Summary

Dr. Randall Kelley, DMD is a registered healthcare professional specializing in Dentist - General Practice in Provo, UT. Practice services are available at 275 N 500 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

275 N 500 W
Suite C

Provo, UT 846013006

Telephone 8013745768
Fax 8013753598

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
61 Specialists

Practicing in Provo, UT (1388 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 CA 33052

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1083947675

Doctor of Dental Surgery

Dr. Jeffrey Thomas , DDS

Dentist - General Practice

NPI 1922292903

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 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 275 N 500 W, SUITE C, PROVO, UT 846013006 (Tel: 8013745768)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9255 MAISON DR, SANDY, UT 840932427 (Tel: 6502180069)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RANDALL KELLEY, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #33052 in CA)

🟢
Initial NPI Registration & Enumeration April 20, 2007

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: 1538387154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

9255 Maison Dr

Sandy, UT 840932427

Phone: 6502180069

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.