Active NPI
Shelly Guo DDS PA
- Dentist
- Smithfield, NC
National Provider Identifier
1235047374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SHELLY GUO DDS PA
- Practice address
- 121 Kellie Dr
Smithfield, NC 27577-9443 - Phone
- (919) 934-3636
- NPI assigned
- Aug 31, 2026
- Last updated
- Aug 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelly Guo, DDS
- Title
- President
- Phone
- (919) 274-5173
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
121 Kellie Dr
Smithfield, NC 27577-9443
Mailing address
620 Pasture Ridge Rd
Raleigh, NC 27603-5384
National Provider Directory
National Provider DirectoryLocations
121 Kellie Dr
Smithfield, NC 27577
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Clayton, NC
- NPI 1023903135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1235047374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 PASTURE RIDGE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276035384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 KELLIE DR",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275779443",
"telephone_number": "919-934-3636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELLY GUO DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "GUO",
"authorized_official_first_name": "SHELLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-274-5173",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.