DR. COURTNEY KELLY DMD
NPI 1235759077
Dentist in Eglin Afb, FL
NPI Status: Active since April 22, 2020
Contact Information
307 BOATNER RD STE 114
EGLIN AFB, FL
ZIP 32542
Phone: (850) 883-8324
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Female
- Dentist
About COURTNEY KELLY
This page provides the complete NPI Profile along with additional information for Courtney Kelly, a provider established in Eglin Afb, Florida with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1235759077 assigned on April 2020. The practitioner's primary taxonomy code is 122300000X with license number 11839022-9922 (UT). The provider is registered as an individual and her NPI record was last updated July 2025.
- NPI
- 1235759077
- Provider Name
- DR. COURTNEY KELLY DMD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 307 BOATNER RD STE 114 EGLIN AFB, FL 32542
- Location Phone
- (850) 883-8324
- Mailing Address
- 307 BOATNER RD STE 114 EGLIN AFB, FL 32542
- Mailing Phone
- (850) 883-8324
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-22-2020
- Last Update Date
- 07-15-2025
- Code Navigator
A dentist like Courtney Kelly is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- 11839022-9922
- License State
- UT
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 7 | 5 | 9 | 0 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 14 | 5 | 18 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 4 + 5 + 1 + 8 + 0 + 1 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1235759077 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063406775 | DR. ROLAND JOSEPH GINCAUSKAS M. D. Individual | Anesthesiology | 307 BOATNER RD STE 114 EGLIN, FL 32542 (850) 883-9506 |
| 1548242936 | DR. GARY M WALKER M.D. Individual | Plastic Surgery | 307 BOATNER RD STE 114 96 MDG/CC EGLIN AFB, FL 32542 (850) 883-8221 |
| 1154370740 | MS. STEPHANIE J DURDEN ARNP Individual | Nurse Practitioner (Family) | 307 BOATNER RD STE 114 EGLIN AFB, FL 32542 (850) 883-8600 |
| 1699870311 | DR. ADAM ANDREW KUIPERS D.D.S. Individual | Dentist (General Practice) | 307 BOATNER RD STE 114 EGLIN AFB, FL 32542 (734) 646-6540 |
| 1952401010 | DR. DEANA LANHAM MITCHELL DO Individual | Family Medicine | 307 BOATNER RD STE 114 EGLIN AFB, FL 32542 (850) 883-8428 |
| 1598834426 | DR. GALE TIMOTHY TUPER JR. MD Individual | Otolaryngology | 307 BOATNER RD STE 114 96TH MEDICAL GROUP EGLIN AFB, FL 32542 (850) 883-8264 |
| 1679643951 | MRS. MONICA B DUNN RDH, CDA Individual | Dental Hygienist | 307 BOATNER RD STE 114 EGLIN AFB, FL 32542 (850) 883-8712 |
| 1144384314 | MRS. PATRICIA MARIE DUVALL O.T.R. Individual | Military Health Care Provider | 307 BOATNER RD STE 114 EGLIN AFB, FL 32542 (850) 883-8586 |
| 1851446603 | MRS. ANDREA G. KERN RDH Individual | Dental Hygienist | 307 BOATNER RD STE 114 96TH DENTAL SQD EGLIN AFB, FL 32542 (850) 883-8712 |
| 1437378742 | DAVID MCCOLLOUGH ROSS II MD Individual | Radiology (Diagnostic Radiology) | 307 BOATNER RD STE 114 EGLIN AFB, FL 32542 (850) 883-8535 |
| 1730391343 | WILLIAM NOLAN LUTHIN MD Individual | Emergency Medicine | 307 BOATNER RD STE 114 EGLIN AFB, FL 32542 (850) 883-8132 |
| 1487844213 | GEMMA P GILMAN Individual | Dietitian, Registered | 307 BOATNER RD STE 114 EGLIN AFB, FL 32542 (850) 883-9182 |
| 1194911917 | DR. GEORGE T. MCKINNEY D.C. Individual | Chiropractor | 307 BOATNER RD STE 114 CHIROPRACTIC CLINIC EGLIN AFB, FL 32542 (850) 883-8440 |
| 1083890263 | MRS. PAMELA A WALKER R.PH. Individual | Pharmacist | 307 BOATNER RD STE 114 PHARMACY EGLIN AFB, FL 32542 (850) 883-8000 |
| 1437337227 | MISS DEBORAH ANNE AUGUSTINE RDH, MS Individual | Dental Hygienist | 307 BOATNER RD STE 114 EGLIN AFB, FL 32542 (850) 883-8835 |
| 1447403928 | MS. JILL DUBIN RDH Individual | Dental Hygienist | 307 BOATNER RD STE 114 EGLIN AFB, FL 32542 (850) 883-8712 |
| 1790920916 | DR. EDWARD JOHANN GONZALEZ DDS Individual | Dentist | 307 BOATNER RD STE 114 96TH MDG/SGDR EGLIN AFB, FL 32542 (850) 883-8785 |
| 1447486857 | PAUL RICHARD CADIZ IDMT Individual | Military Health Care Provider (Independent Duty Medical Technicians) | 307 BOATNER RD STE 114 EGLIN AFB, FL 32542 (850) 883-8270 |
| 1194092155 | MS. CYNDIA ANN MILLER RDH Individual | Dental Hygienist | 307 BOATNER RD STE 114 EGLIN AFB, FL 32542 (850) 883-8324 |
| 1942577424 | EKEITHA REDD RDH Individual | Dental Hygienist | 307 BOATNER RD STE 114 EGLIN AFB, FL 32542 (850) 883-8324 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235759077, enumerated in the NPI registry as an "individual" on April 22, 2020
The provider is located at 307 Boatner Rd Ste 114 Eglin Afb, Fl 32542 and the phone number is (850) 883-8324
The provider's speciality is Dentist with taxonomy code 122300000X
This NPI record was last updated on April 22, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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