Kelly Harrelson DDS, Pllc
Kelly Harrelson DDS, Pllc is a healthcare organization registered as Dental Clinic/Center in Roanoke, TX, holding Type 2 (organization) NPI 1205650264 since 2024. The authorized official on file is Kelly Harrelson, General Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205650264 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kelly Harrelson DDS, Pllc |
| Practice address | 1405 CANNON PKWY, Roanoke, TX, 76262 |
| Phone | 8174301212 |
| Fax | 8174910154 |
| Enumeration date | 2024-11-14 |
| Last updated in NPPES | 2024-11-14 |
Authorized official
| Name | Kelly Harrelson |
|---|---|
| Title | General Dentist |
| Phone | 9184132774 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Kelly Harrelson DDS, Pllc NPI: 1205650264 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 1405 CANNON PKWY, Roanoke, TX, 76262
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750314761 | Kimberley A Baker, DDS, PA | Organization | General Practice Dentistry | Roanoke, TX |
| 1316100712 | Alejandra Rivas | Individual | General Practice Dentistry | Roanoke, TX |
| 1689939845 | Kimberley Baker | Individual | General Practice Dentistry | Roanoke, TX |
| 1295110377 | Sara Robison | Individual | Dentist | Roanoke, TX |
| 1366935801 | Kelly Harrelson | Individual | Dentist | Roanoke, TX |
| 1366935850 | Morgan Johnson | Individual | General Practice Dentistry | Roanoke, TX |
Verify this record
Cross-check NPI 1205650264 against the authoritative CMS record: view Kelly Harrelson DDS, Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Kelly Harrelson DDS, Pllc?
Who is the authorized official for Kelly Harrelson DDS, Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-11-14.