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

Timothy M. Kelly, DMD, PA

Organization Public Health Dentistry · NPI 1558736991

Timothy M. Kelly, DMD, PA is a Public Health Dentistry in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2015.

Licensed in
NM
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1441 Carlisle Blvd NE Ste D
Albuquerque, NM 87110-5610
Phone: (505) 256-1770
Fax: (505) 255-0220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health Dentistry (primary) Taxonomy 1223D0001X · Licence 1413 (NM)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Customized Equipment (DME) Taxonomy 332BC3200X · Licence 1413 (NM)

Record details

NPI number1558736991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Kelly — Owner/Dentist · (505) 256-1770
NPI enumeratedDecember 10, 2015
Last updated in NPPESFebruary 19, 2021
Certification dateFebruary 19, 2021
Mailing address1441 Carlisle Blvd Ne, Suite D, Albuquerque, NM 87110-5610

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