NPI age
18 years
Enumerated 2008-04-14
● Active Type 2 · Organization
Kelly M. Gonzales, Dds, Pc
Kelly M. Gonzales, Dds, Pc is 1 of 1797 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gonzales
President
Last NPPES update
2009-09-23
Source: monthly bulk 2026-05
How this organization compares
Across 1797 active dentist providers in Texas.
NPI age
18 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1103 Rivery Blvd, Ste 140
Georgetown, TX 786283034
Mailing address
1103 Rivery Blvd, Ste 140
Georgetown, TX 786283034
Authorized official
Kelly Marie Gonzales, DDS
President
📞 5128649595
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Alison Campbell, DDS Dentist NPI 1588788970
- Jeffrey Fendley, D.D.S. Dentist NPI 1619021268
- Kelly Gonzales, DDS Dentist NPI 1417128687
- Stephen Meacham, D.D.S. Dentist NPI 1871793083
- Randy O Brien, DDS Dentist NPI 1629158209
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Star Smiles Pediatric Dentistry
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.