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

Dr. Kelly Harrelson, DDS

Individual provider Dentist · NPI 1366935801

Dr. Kelly Harrelson, DDS is a Dentist in Roanoke, Texas. Practices as a sole proprietor. Licensed in Oklahoma and Texas.

Licensed in
OK, TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1405 Cannon Pkwy
Roanoke, TX 76262-3620
Phone: (918) 413-2774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 34055 (TX)
Dentist Taxonomy 122300000X · Licence 7046 (OK)

Record details

NPI number1366935801
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 10, 2018
Last updated in NPPESJune 10, 2018

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