Provider Demographics
NPI:1699056119
Name:PARROTT, KELCEY BELL (DDS)
Entity type:Individual
Prefix:DR
First Name:KELCEY
Middle Name:BELL
Last Name:PARROTT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:KELCEY
Other - Middle Name:ANN
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5016 BRIARWOOD AVE # B
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-2753
Mailing Address - Country:US
Mailing Address - Phone:432-699-2044
Mailing Address - Fax:
Practice Address - Street 1:5016 BRIARWOOD AVE # B
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-2753
Practice Address - Country:US
Practice Address - Phone:432-699-2044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX272441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice