| Kelly Harrelson Dds, Pllc | |
|
1405 Cannon Pkwy Roanoke TX 76262-3620 | |
| (817) 430-1212 | |
| (817) 491-0154 |
| Full Name | Kelly Harrelson Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1405 Cannon Pkwy, Roanoke, Texas |
| Authorized Official Name and Position | Kelly Harrelson (GENERAL DENTIST) |
| Authorized Official Contact | 9184132774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Harrelson Dds, Pllc 1405 Cannon Pkwy Roanoke TX 76262-3620 Ph: (817) 430-1212 | Kelly Harrelson Dds, Pllc 1405 Cannon Pkwy Roanoke TX 76262-3620 Ph: (817) 430-1212 |
| NPI Number | 1205650264 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 11/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205650264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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