Dr Randall Shawn Kelly, DDS - Dentist in Roseville, CA

Dr Randall Shawn Kelly, DDS is a Dentist - General Practice based in Roseville, California. Dr Randall Shawn Kelly is licensed to practice in California (license number 29984) and his current practice location is 700 Sunrise Ave, Suite E, Roseville, California. He can be reached at his office (for appointments etc.) via phone at (916) 773-1122.

NPI number for Dr Randall Shawn Kelly is 1376632430 and his current mailing address is 700 Sunrise Ave, Suite E, Roseville, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376632430.

Contact Information

Dr Randall Shawn Kelly, DDS
700 Sunrise Ave, Suite E,
Roseville, CA 95661-4561
(916) 773-1122
Not Available



Healthcare Provider's Profile

Full NameDr Randall Shawn Kelly
GenderMale
SpecialityDentist - General Practice
Location700 Sunrise Ave, Roseville, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376632430
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 04/04/2017

Medical Identifiers

Medical identifiers for Dr Randall Shawn Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376632430NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 29984 (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 Randall Shawn 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 Randall Shawn Kelly, DDS
700 Sunrise Ave, Suite E,
Roseville, CA 95661-4561

Ph: (916) 773-1122
Dr Randall Shawn Kelly, DDS
700 Sunrise Ave, Suite E,
Roseville, CA 95661-4561

Ph: (916) 773-1122

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› Verified 3 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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