Doctor profile · Federal record
Dr. Mark Kelly
General Practice Dentistry · Oklahoma City, OK
- NPI 1578656393
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3637 Nw 39Th St
Oklahoma City, OK 731126309
(405) 942-7755 - Mailing address
-
415 N Grand Ave
Pueblo, CO 810033111
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- July 9, 2007
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Oklahoma #5869
- Medicaid
- OK #200088150A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1578656393. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, Inc. | 1 | $22.43 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
77
Patients
70
Total drug cost
$309
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 45 | 42 | $112 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 32 | 28 | $197 |
Frequently asked questions
What is Dr. Mark Kelly's medical specialty?
Dr. Mark Kelly practices General Practice Dentistry in Oklahoma City, OK.
Where does Dr. Mark Kelly practice?
Dr. Mark Kelly practices at 3637 Nw 39Th St, Oklahoma City, OK 731126309. Office phone: 4059427755.
What is Dr. Mark Kelly's NPI?
Dr. Mark Kelly's National Provider Identifier (NPI) is 1578656393, issued by NPPES.