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

Dr. Randall Shawn Kelly, DDS

Individual provider General Practice Dentistry · NPI 1376632430

Dr. Randall Shawn Kelly, DDS is a General Practice Dentistry in Roseville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
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

700 Sunrise Ave Ste E
Roseville, CA 95661-4561
Phone: (916) 773-1122
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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 29984 (CA)

Record details

NPI number1376632430
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 12, 2006
Last updated in NPPESApril 4, 2017

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