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

Dr. Mary Nan Kelsey IV, DDS

Individual provider General Practice Dentistry · NPI 1962492678

Dr. Mary Nan Kelsey IV, DDS practises General Practice Dentistry in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2005.

Licensed in
NE
In the registry since
2005
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

220 N 89th St
Omaha, NE 68114-4072 Not confirmed with CMS for 10 years — call before visiting
Phone: (402) 390-6006
Fax: (402) 390-6446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4675 (NE)

Record details

NPI number1962492678
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 25, 2005
Last updated in NPPESOctober 29, 2015

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