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

Michael R Kelson, DDS, PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1699989749

Michael R Kelson, DDS, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3624 Ensign Rd NE
Olympia, WA 98506-5074
Phone: (360) 923-5412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 7100 (WA)

Record details

NPI number1699989749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Kelson — Member · (360) 923-5412
Other names Olympia Oral & Maxillofacial Surgery
NPI enumeratedMay 9, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3624 Ensign Rd Ne, Olympia, WA 98506-5074

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