JOHN KELLEY NPI 1871338954

NPI Information

  • NPI: 1871338954
  • Provider Name: JOHN KELLEY
  • Classification: Dental Laboratory Technician - 126900000X
  • Entity Type: Individual
  • Address: 38994 DUSTY LN
    POLSON, MT
    ZIP 59860
  • Phone: (406) 883-6247

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NPI Details

John Kelley is a dental laboratory technician in Polson, MT. The provider is an individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary. John Kelley NPI is 1871338954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

38994 DUSTY LN
POLSON, MT
ZIP 59860-773
Phone: (406) 883-6247

The enumeration date for this NPI number is 6/28/2024 and was last updated on 6/28/2024.

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
1126900000XDental Laboratory TechnicianYes

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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