GRETCHEN MARIE KELLEY DDS NPI 1053676734

NPI Information

  • NPI: 1053676734
  • Provider Name: GRETCHEN MARIE KELLEY, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 9501 PASEO DEL NORTE NE STE A
    ALBUQUERQUE, NM
    ZIP 87122
  • Phone: (505) 369-1881

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NPI Details

Gretchen Marie Kelley, DDS is a general practice dentist in Albuquerque, NM. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Gretchen Marie Kelley, DDS NPI is 1053676734. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9501 PASEO DEL NORTE NE STE A
ALBUQUERQUE, NM
ZIP 87122-999
Phone: (505) 369-1881
Fax: (505) 369-1882

The enumeration date for this NPI number is 7/10/2012 and was last updated on 7/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDD3709NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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