Dr Jacob Dean Kelly, DDS - Dentist in Roseville, CA

Dr Jacob Dean Kelly, DDS is a Dentist - General Practice based in Roseville, California. Dr Jacob Dean Kelly is licensed to practice in California (license number 63699) and his current practice location is 2360 Professional Dr Ste 100, Roseville, California. He can be reached at his office (for appointments etc.) via phone at (916) 782-9479.

NPI number for Dr Jacob Dean Kelly is 1457769457 and his current mailing address is 2360 Professional Dr Ste 100, Roseville, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457769457.

Contact Information

Dr Jacob Dean Kelly, DDS
2360 Professional Dr Ste 100,
Roseville, CA 95661-7782
(916) 782-9479
(916) 782-9479



Healthcare Provider's Profile

Full NameDr Jacob Dean Kelly
GenderMale
SpecialityDentist - General Practice
Location2360 Professional Dr Ste 100, Roseville, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457769457
  • Provider Enumeration Date: 07/23/2014
  • Last Update Date: 07/01/2021

Medical Identifiers

Medical identifiers for Dr Jacob Dean Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457769457NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 63699 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacob Dean Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jacob Dean Kelly, DDS
2360 Professional Dr Ste 100,
Roseville, CA 95661-7782

Ph: (916) 782-9479
Dr Jacob Dean Kelly, DDS
2360 Professional Dr Ste 100,
Roseville, CA 95661-7782

Ph: (916) 782-9479

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› Verified 4 days ago


Dentist in Roseville, CA

Dr. Cindy Y Szeto, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6524 Rose Bridge Dr, Roseville, CA 95678
Phone: 415-412-3238    
Flaviane Petersen, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1258 Coloma Way, Roseville, CA 95661
Phone: 916-784-1144    Fax: 916-786-2409
Dr. Arthur Kwan, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1420 Blue Oaks Blvd, Suite 180, Roseville, CA 95747
Phone: 916-780-9688    Fax: 916-780-9698
Dr. Said Shaari, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 406 Sunrise Ave, Roseville, CA 95661
Phone: 916-789-4568    Fax: 916-789-7344
Teresa Marie Hall, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 953 Pleasant Grove Blvd, Suite 140, Roseville, CA 95678
Phone: 916-772-6248    Fax: 916-772-6235
William J Bohan, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1441 Secret Ravine Pkwy, #100, Roseville, CA 95661
Phone: 916-782-7783    Fax: 916-782-4699
Daniel Fernando Reyes Sighinolfi, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3281 Rock Creek Way, Roseville, CA 95747
Phone: 916-271-4364    

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