Doctor profile · Federal record
Dr. Samuel Kelly
General Practice Dentistry · Salem, OR
- NPI 1174018022
- 8 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3380 Astoria Way Ne
Salem, OR 973051667
(971) 600-0211
Credentials & registration
- NPI registered
- June 2018 — 8 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Oregon #D10822
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174018022. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$21
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Patterson Companies, INC. | 1 | $20.60 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
15
Patients
15
Total drug cost
$82
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 15 | 15 | $82 |
Frequently asked questions
What is Dr. Samuel Kelly's medical specialty?
Dr. Samuel Kelly practices General Practice Dentistry in Salem, OR.
Where does Dr. Samuel Kelly practice?
Dr. Samuel Kelly practices at 3380 Astoria Way Ne, Salem, OR 973051667. Office phone: 9716000211.
What is Dr. Samuel Kelly's NPI?
Dr. Samuel Kelly's National Provider Identifier (NPI) is 1174018022, issued by NPPES.