Trent Kelly, DDS

NPI 1952663460 · on the registry since 2012 · sole proprietor

Practice

Address: 1991 W Broadway St
Idaho Falls, ID 83402
Phone: (208) 999-4746
Organisation at this address: Choice Dental
Associated Westside Optometric Clinic P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-11-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho