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

Shawn Kelly DDS Inc

Organization Customized Equipment (DME) · NPI 1912441064

Shawn Kelly DDS Inc is a Customized Equipment (DME) in Roseville, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
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

700 Sunrise Ave Ste E
Roseville, CA 95661-4561
Phone: (916) 773-1122
Fax: (916) 773-3528
Show map & directions

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

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X · Licence 29984 (CA)

Record details

NPI number1912441064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Kelly — Owner · (916) 773-1122
Other names Roseville Dental Group Sleep Solutions
NPI enumeratedDecember 8, 2016
Last updated in NPPESApril 5, 2017
Mailing address700 Sunrise Ave, Suite E, Roseville, CA 95661-4561

Other providers in Roseville