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

Dr. Kelly Marie Gonzales, DDS

Individual provider Pediatric Dentistry · NPI 1417128687

Dr. Kelly Marie Gonzales, DDS practises Pediatric Dentistry in Georgetown, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
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

1103 Rivery Blvd Ste 140
Georgetown, TX 78628-3034 Not confirmed with CMS for 18 years — call before visiting
Phone: (903) 288-3898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 22251 (TX)

Record details

NPI number1417128687
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 17, 2008
Last updated in NPPESMarch 17, 2008

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