Dr Kelly Connaughton Mansour, DMD - Dentist in Maitland, FL

Dr Kelly Connaughton Mansour, DMD is a Dentist - Pediatric Dentistry based in Maitland, Florida. Dr Kelly Connaughton Mansour is licensed to practice in Florida (license number DN18377) and her current practice location is 1650 N Maitland Ave, Maitland, Florida. She can be reached at her office (for appointments etc.) via phone at (407) 628-2286.

NPI number for Dr Kelly Connaughton Mansour is 1558524041 and her current mailing address is 1650 N Maitland Ave, Maitland, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558524041.

Contact Information

Dr Kelly Connaughton Mansour, DMD
1650 N Maitland Ave,
Maitland, FL 32751-3320
(407) 628-2286
(407) 629-2953

Map and Direction




Healthcare Provider's Profile

Full NameDr Kelly Connaughton Mansour
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location1650 N Maitland Ave, Maitland, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558524041
  • Provider Enumeration Date: 07/06/2008
  • Last Update Date: 10/04/2023

Medical Identifiers

Medical identifiers for Dr Kelly Connaughton Mansour such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558524041NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry DN18377 (Florida)Primary
1223G0001XDentist - General Practice DN 18377 (Florida)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly Connaughton Mansour is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kelly Connaughton Mansour, DMD
1650 N Maitland Ave,
Maitland, FL 32751-3320

Ph: (074) 628-2286
Dr Kelly Connaughton Mansour, DMD
1650 N Maitland Ave,
Maitland, FL 32751-3320

Ph: (407) 628-2286

Reviews and Comments


Dentist in Maitland, FL

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Dr. Carlos A Bertot, DMD
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