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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043887060

Dr. Kelsey Lomen, DDS is a Student in an Organized Health Care Education/Training Program in Elk Grove, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
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

4720 Elk Grove Blvd Ste 170
Elk Grove, CA 95758-4185
Phone: (916) 691-9191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 714 Tiverton Ave, Los Angeles, CA 90095-8361 — (323) 919-4219

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 107961 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043887060
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 8, 2021
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 2, 2022

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