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

Dr. Brian Kelly Hutto, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1568654986

Dr. Brian Kelly Hutto, DMD is a Dentist in Modesto, California. Graduated from Perelman School of Med at the University of Pennsylvania in 2001, 25 years ago. Practices as a sole proprietor. Licensed in California and Maryland.

Years since qualifying
25
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
CA, MD
In the registry since
2007
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2301 St Pauls Way
Modesto, CA 95355-3309
Phone: (209) 522-5238
Fax: (209) 522-4703
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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 62106 (CA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 12798 (MD)

Record details

NPI number1568654986
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 10, 2007
Last updated in NPPESFebruary 4, 2024
Certification dateFebruary 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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