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

Timothy M. Kelly, DMD, PA

Organization Public Health Dentistry · NPI 1558736991

Timothy M. Kelly, DMD, PA provides Public Health Dentistry in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2015.

Licensed in
NM
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1441 Carlisle Blvd NE Ste D
Albuquerque, NM 87110-5610
Phone: (505) 256-1770
Fax: (505) 255-0220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health Dentistry (primary) Taxonomy 1223D0001X · Licence 1413 (NM)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Customized Equipment (DME) Taxonomy 332BC3200X · Licence 1413 (NM)

Record details

NPI number1558736991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Kelly — Owner/Dentist · (505) 256-1770
NPI enumeratedDecember 10, 2015
Last updated in NPPESFebruary 19, 2021
Certification dateFebruary 19, 2021
Mailing address1441 Carlisle Blvd Ne, Suite D, Albuquerque, NM 87110-5610

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