Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gwendolyn Kelly DDS & Assoc

Organization Dentist · NPI 1558772723

Gwendolyn Kelly DDS & Assoc is a Dentist in Los Angeles, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
3

Practice location Address checks out

6230 W Manchester Ave
Los Angeles, CA 90045-3801
Phone: (310) 412-9291
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 29936 (CA)
Endodontics Taxonomy 1223E0200X · Licence 45472 (CA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 20070 (CA)

Record details

NPI number1558772723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gwendolyn Kelly — Owner · (310) 412-9291
Other names Gwendolyn Kelly Dds
NPI enumeratedMay 9, 2014
Last updated in NPPESMay 9, 2014
Mailing address6230 W Manchester Ave, Los Angeles, CA 90045-3801

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