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

Jacob D Kelly DDS, Inc

Organization Dental Clinic/Center · NPI 1447821319

Jacob D Kelly DDS, Inc is a Dental Clinic/Center in Roseville, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2360 Professional Dr Ste 100
Roseville, CA 95661-7782
Phone: (916) 782-9479
Fax: (916) 782-3342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1447821319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Kelly — Owner Dentist · (916) 782-9479
NPI enumeratedJuly 1, 2021
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021
Mailing address2360 Professional Dr Ste 100, Roseville, CA 95661-7782

Other providers in Roseville