Kelly Hartnett McDermott, DDS

General Practice Dentistry · Lufkin, TX

Individual Active NPI

NPI number 1124183330

Practice location

111 Gaslight Blvd
Suite a
Lufkin, TX 75904-3188
Phone
(936) 634-8201
Fax
(936) 639-2187

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NPI record

NPI
1124183330
Entity type
Individual (Type 1)
Enumeration date
December 27, 2006
Last updated
September 22, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 22144 TX

About Dr. McDermott

Kelly Hartnett McDermott, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 111 Gaslight Blvd, Suite a, Lufkin, TX 75904-3188. The NPI number 1124183330 was assigned on December 27, 2006 and the record was last updated on September 22, 2010.

Dr. McDermott lists a license in the registry: #22144 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelly Hartnett McDermott, DDS?

The NPI number is 1124183330.

What is the phone number of Dr. McDermott?

The phone number listed for the practice location is (936) 634-8201.

Where is Dr. McDermott located?

111 Gaslight Blvd, Suite a, Lufkin, TX 75904-3188.

What is the taxonomy code for Dr. McDermott?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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