Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Timothy L Kelly Dental Prof LLC

Organization Dentist · NPI 1710433123

Timothy L Kelly Dental Prof LLC provides Dentist services in Rapid City, South Dakota. Licensed in South Dakota. Registered with an NPI since 2016.

Licensed in
SD
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 Mountain View Rd Ste 104
Rapid City, SD 57702-4354 Not confirmed with CMS for 10 years — call before visiting
Phone: (605) 593-0037
Fax: (605) 593-8351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D0505 (SD)

Record details

NPI number1710433123
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Kelly — Owner · (605) 593-0037
Other names Rushmore Dental
NPI enumeratedAugust 27, 2016
Last updated in NPPESAugust 27, 2016
Mailing address1600 Mountain View Rd Ste 104, Rapid City, SD 57702-4354

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