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

Dr. Mary Nan Kelsey IV, DDS

Individual provider General Practice Dentistry · NPI 1962492678

Dr. Mary Nan Kelsey IV, DDS is a General Practice Dentistry in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2005.

Licensed in
NE
In the registry since
2005
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

220 N 89th St
Omaha, NE 68114-4072
Phone: (402) 390-6006
Fax: (402) 390-6446
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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 4675 (NE)

Record details

NPI number1962492678
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 25, 2005
Last updated in NPPESOctober 29, 2015

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