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

Dr. Benjamin Kellum, DDS

Individual provider Dentist · NPI 1225481930

Dr. Benjamin Kellum, DDS is a Dentist in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2016
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Partly verified

Some contact details are missing from the federal record.

Idaho State University
Pocatello, ID 83209-0001
Phone: (208) 282-3289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D4772 (ID)

Record details

NPI number1225481930
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 18, 2016
Last updated in NPPESJuly 18, 2016
Mailing addressIdaho State University, Pocatello, ID 83209-0001

Other providers in Pocatello