DR. ELIZABETH KELLNER DDS NPI 1760521934

NPI Information

NPI: 1760521934
Provider Name: DR. ELIZABETH KELLNER, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
2468 TREMONT ST
NORTH BEND, OR
ZIP 97459
Phone: (541) 756-0156
Get Directions

DR. Elizabeth Kellner, DDS is a pediatric dentistry dentist in North Bend, OR. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Elizabeth Kellner, DDS NPI is 1760521934. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2468 TREMONT ST
NORTH BEND, OR
ZIP 97459-320
Phone: (541) 756-0156

The enumeration date for this NPI number is 2/5/2007 and was last updated on 11/9/2022.

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
1	1223P0221X	Dentist	Pediatric Dentistry	D11686	OREGON	Yes
2	1223P0221X	Dentist	Pediatric Dentistry	073	OKLAHOMA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200062680A	MEDICAID	OKLAHOMA

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: 4/28/2024

NPI Synchronization or Removal

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