NPI age
19 years
Enumerated 2007-02-08
● Active
Type 1 · Individual
DR. Diane Collette Kelly, DMD
Kelly is 1 of 12 dentist providers in Dacula and 1 of 539 in Georgia.
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-07-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 539 active dentist providers in Georgia.
NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
2119 Hamilton Creek Pkwy, Suite 200
Dacula, GA 300193293
Mailing address
2119 Hamilton Creek Pkwy, Suite 200
Dacula, GA 300193293
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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | DN012082 | DENTAL LICENSE NUMBER |
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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