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

Dr. Kellie Jean Pacheco, DMD

Individual provider General Practice Dentistry · NPI 1508536194

Dr. Kellie Jean Pacheco, DMD is a General Practice Dentistry in FPO, Armed Forces Pacific. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Psc 475 Box 1
FPO, AP 96350-1200
Phone: (315) 243-8808

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DDS106969 (CA)
Dentist Taxonomy 122300000X · Licence DDS106969 (CA)

Record details

NPI number1508536194
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 15, 2021
Last updated in NPPESAugust 31, 2023
Certification dateAugust 10, 2023

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