Dr. Diane Collette Kelly
DMD | Pediatric Dentist
2119 Hamilton Creek Pkwy, Suite 200, Dacula
Georgia, 30019-3293
678-714-7011 678-714-8388
Maps & DirectionsDr. Diane Collette Kelly is a Dacula, Georgia based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Diane Collette Kelly is
DN012082 for Pediatric Dentistry in Georgia. Her current practice location is
2119 Hamilton Creek Pkwy, Suite 200, Dacula. Patients can reach her at
678-714-7011.
Dr. Diane Collette Kelly provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Diane Collette Kelly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Diane Collette Kelly |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2119 Hamilton Creek Pkwy, Suite 200, Dacula,
Georgia, 30019-3293 |
| Phone: | 678-714-7011 |
| Fax: | 678-714-8388 |
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 are as mentioned below.
| NPI Number: | 1851431522 |
| NPI Enumeration Date: | 08 Feb, 2007 |
| NPI Last Update On: | 09 Jul, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Diane Collette Kelly are as mentioned below.
| License Number | Specialization | State | Status | |
| DN012082 | Pediatric Dentistry | Georgia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Diane Collette Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| DN012082 | Other | Georgia | DENTAL LICENSE NUMBER |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2119 Hamilton Creek Pkwy, Suite 200
Dacula, Georgia |
| Zip: | 30019-3293 |
| Phone Number: | 678-714-7011 |
| Fax Number: | 678-714-8388 |
Patients can reach Dr. Diane Collette Kelly at
2119 Hamilton Creek Pkwy, Suite 200, Dacula, Georgia or can
call to book an appointment on 678-714-7011.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.