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KAELY KANTARIS
NPI 1104225994
Dentist in San Diego, CA

Active since August 18, 2014
4435 EASTGATE MALL #125, SAN DIEGO, CA 92121(858) 546-7667 Get Directions Write a Review

NPPES record last updated: May 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaely Kantaris NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAELY KANTARIS (NPI 1104225994) is an individual dentist in San Diego, California, licensed in California (DDS108191) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1104225994
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKAELY KANTARIS
Location Address4435 EASTGATE MALL #125San Diego, CA 92121-5191
Mailing Address4565 48th StreetSan Diego, CA 92115
Phone(858) 546-7667
Sole ProprietorYes
Enumeration DateAugust 18, 2014
Last NPPES UpdateMay 7, 2023
NPPES CertifiedMay 7, 2023
✔ NPI 1104225994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in CA · DDS108191✔ Licensed in WI · 1000988-15✔ Licensed in FL · DN27647
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Delta Dental and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaely Kantaris's NPI number?

The NPI number for Kaely Kantaris is 1104225994. It was assigned to this individual provider in the NPPES registry on August 18, 2014.

Where is Kaely Kantaris located?

Kaely Kantaris practices at 4435 Eastgate Mall #125, San Diego, CA 92121. The listed phone number is (858) 546-7667.

What is Kaely Kantaris's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kaely Kantaris accept?

Health plans from Ambetter Health, Ambetter of Alabama, Delta Dental, Florida Combined Life and Humana list Kaely Kantaris as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaely Kantaris was last updated on May 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.