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

Dr. Jacob Dean Kelly, DDS

Individual provider General Practice Dentistry · NPI 1457769457

Dr. Jacob Dean Kelly, DDS is a General Practice Dentistry in Roseville, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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 Address checks out

2360 Professional Dr Ste 100
Roseville, CA 95661-7782
Phone: (916) 782-9479
Fax: (916) 782-9479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 63699 (CA)

Record details

NPI number1457769457
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 23, 2014
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021

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