Dr Kelly Ross Carlisle, DMD, BS - Dentist in Bountiful, UT

Dr Kelly Ross Carlisle, DMD, BS is a Dentist based in Bountiful, Utah. Dr Kelly Ross Carlisle is licensed to practice in Utah (license number 11287528-9922) and his current practice location is 535 E 500 S, Bountiful, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 292-7807.

NPI number for Dr Kelly Ross Carlisle is 1275097859 and his current mailing address is 391 W 3200 S, Bountiful, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275097859.

Contact Information

Dr Kelly Ross Carlisle, DMD, BS
535 E 500 S,
Bountiful, UT 84010-3873
(801) 292-7807
Not Available



Healthcare Provider's Profile

Full NameDr Kelly Ross Carlisle
GenderMale
SpecialityDentist
Location535 E 500 S, Bountiful, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275097859
  • Provider Enumeration Date: 01/28/2019
  • Last Update Date: 04/09/2020

Medical Identifiers

Medical identifiers for Dr Kelly Ross Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275097859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 11287528-9922 (Utah)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 Kelly Ross Carlisle 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 Kelly Ross Carlisle, DMD, BS
391 W 3200 S,
Bountiful, UT 84010

Ph: (408) 621-7744
Dr Kelly Ross Carlisle, DMD, BS
535 E 500 S,
Bountiful, UT 84010-3873

Ph: (801) 292-7807

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› Verified 2 days ago


Dentist in Bountiful, UT

Gregory G. Oman, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1480 South Orchard Drive, Bountiful, UT 84010
Phone: 801-298-9441    Fax: 801-298-9445
Karli Lynn Wilson, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 24 S 500 W, Bountiful, UT 84010
Phone: 801-296-1606    
Dr. Joseph Feller, DMD, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 625 E 500 S, Suite 201, Bountiful, UT 84010
Phone: 801-295-3467    Fax: 801-295-5786
Phillip Peter Olsen, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 625 E 500 S, Suite 202, Bountiful, UT 84010
Phone: 801-292-4141    
Dr. Fred William Luedtke, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1260 S. 500 W., Bountiful, UT 84010
Phone: 801-294-6174    
Dr. Zachary Robert Andrews, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 319 S Main St, Bountiful, UT 84010
Phone: 801-295-7171    
Dr. George Allen Hibler, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1480 Orchard Dr, 107, Bountiful, UT 84010
Phone: 801-295-5865    Fax: 801-295-5333

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