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

Dr. Kelly Harrelson, DDS

Individual provider Dentist · NPI 1366935801

Dr. Kelly Harrelson, DDS is a Dentist in Roanoke, Texas. Practices as a sole proprietor. Licensed in Oklahoma and Texas.

Licensed in
OK, TX
In the registry since
2018
Specialties on file
2
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

1405 Cannon Pkwy
Roanoke, TX 76262-3620
Phone: (918) 413-2774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 34055 (TX)
Dentist Taxonomy 122300000X · Licence 7046 (OK)

Record details

NPI number1366935801
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 10, 2018
Last updated in NPPESJune 10, 2018
Mailing address3605 Country Clb, Moore, OK 73160-7615

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