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

Dr. Kelly Ross Carlisle, DMD, BS

Individual provider Dentist · NPI 1275097859

Dr. Kelly Ross Carlisle, DMD, BS is a Dentist in Bountiful, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

535 E 500 S
Bountiful, UT 84010-3873
Phone: (801) 292-7807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4802 S Holladay Blvd, Holladay, UT 84117-5407 — (801) 733-7035

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 11287528-9922 (UT)

Record details

NPI number1275097859
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , BS
Sole proprietorNo
NPI enumeratedJanuary 28, 2019
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020

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