KELLY SOARES (DMD) – Dentist, NPI 1780645002

KELLY SOARES (DMD) is a healthcare provider. based in Worcester, Massachusetts. specializing in Dentist. They hold the professional credentials DMD. They hold a License No. 19743 (MA). The NPI Number for KELLY SOARES (DMD) is 1780645002

Main info

Female
Name
KELLY SOARES (DMD)
NPI
1780645002
Phone
(508) 852-1805
Address
19 TACOMA ST
Enumeration Date
28 March 2006
Last Update Date
10 September 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:20State licenses:3Digital endpointsOther names

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Provider Addresses for KELLY SOARES (DMD)

  • 19, Tacoma Street, Great Brook Valley Gardens, Great Brook Valley, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016053516

    Phone: (508) 852-1805

    Fax: (508) 853-8593

    Type: Mailing

  • 30, Saint James Avenue, Chicopee Falls, Chicopee, Hampden County, Massachusetts, 01014-0368, United States

    CHICOPEE, MA 010202453

    Phone: (413) 592-2177

    Fax: (413) 592-3278

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-09-25 • Largest payer in this snapshot: Align Technology, Inc. ($30).

Total Amount

$30

General + Research + Ownership

Payments

3

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Align Technology, Inc.$30
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01605)

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Reviews

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Frequently asked questions

Is there an official ID for KELLY SOARES (DMD) in U.S. healthcare records?
The official identifier for KELLY SOARES (DMD) is NPI 1780645002.
Active or inactive — what applies to KELLY SOARES (DMD)?
You should see KELLY SOARES (DMD) as active in CMS-hosted NPPES data.
What expertise is attributed to KELLY SOARES (DMD)?
KELLY SOARES (DMD)'s specialty line reads Dentist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KELLY SOARES (DMD)?
Travel planning: use Worcester, Massachusetts as the reference point for KELLY SOARES (DMD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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