Timothy L Kelly Dental Prof. Llc
Dental Clinic
1600 Mountain View Rd Ste 104, Rapid City
South Dakota, 57702-4354
605-593-0037 605-593-8351
Maps & DirectionsTimothy L Kelly Dental Prof. Llc is a Dental Clinic in Rapid City, South Dakota. It is located at 1600 Mountain View Rd Ste 104, Rapid City, SD and its contact number is 605-593-0037. The authorized person for Timothy L Kelly Dental Prof. Llc is Dr. Timothy Lynn Kelly
who is Owner of the clinic and their contact number is 605-593-0037. The primary license number for Timothy L Kelly Dental Prof. Llc is D0505 (Dentist) in South Dakota.
Timothy L Kelly Dental Prof. Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Timothy L Kelly Dental Prof. Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Timothy L Kelly Dental Prof. Llc |
| Specialization: | Dentistry |
| Clinic Address: | 1600 Mountain View Rd Ste 104, Rapid City,
South Dakota, 57702-4354 |
| Phone: | 605-593-0037 |
| Fax: | 605-593-8351 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Timothy Lynn Kelly |
| Position: | Owner |
| Contact Number: | 605-593-0037 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Timothy L Kelly Dental Prof. Llc clinic are as mentioned below.
| NPI Number: | 1710433123 |
| NPI Enumeration Date: | 27 Aug, 2016 |
| NPI Last Update On: | 27 Aug, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timothy L Kelly Dental Prof. Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | D0505 | South Dakota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1588653281 | Medicaid | South Dakota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Timothy L Kelly Dental Prof. Llc
1600 Mountain View Rd Ste 104,
Rapid City, South Dakota |
| Zip: | 57702-4354 |
| Phone Number: | 605-593-0037 |
| Fax Number: | 605-593-8351 |
Patients can reach Timothy L Kelly Dental Prof. Llc at
1600 Mountain View Rd Ste 104, Rapid City, South Dakota or can
call to book an appointment on 605-593-0037.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.