NPI 1033907423

Roah Kelly, DMD

Practitioner General Practice Dentistry Catoosa, OK

Practice location

Address: 2036 S Miller Ln STE B, Catoosa, OK 74015-1539
Phone: (918) 937-7660
Mailing address: 16204 S 89th East Ave, Bixby, OK 74008-4493

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 8066 (OK)

Other Dentist providers in Oklahoma →

Registry record

NPI: 1033907423
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2025
Record last updated: 28 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.