Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. KELLY JEAN AMANNA DMD
NPI 1154253300
Dentist - General Practice in Summerville, SC

Q: What is Kelly Amanna's NPI number?

The NPI number for Kelly Amanna is 1154253300. It was assigned to this individual provider in the NPPES registry on June 2, 2026.

Q: What is Kelly Amanna's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Amanna was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since June 02, 2026

2680 N MAIN ST STE A, SUMMERVILLE, SC 29486(843) 396-5804 Get Directions Write a Review

NPPES record added: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kelly Jean Amanna Dmd NPPES

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

DR. KELLY JEAN AMANNA DMD (NPI 1154253300) is an individual general practice provider in Summerville, South Carolina, licensed in South Carolina (11460) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1154253300

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KELLY JEAN AMANNACredential: DMD

Location Address2680 N MAIN ST STE ASummerville, SC 29486-8763

Mailing Address2680 N Main St Ste ASummerville, SC 29486-8763 · (843) 396-5804

Phone(843) 396-5804

Sole ProprietorNo

Enumeration DateJune 2, 2026

NPPES CertifiedJune 2, 2026

✔ NPI 1154253300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 11460

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2680 N MAIN ST STE A, Summerville, SC 29486

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.

Dentist (General Practice)

2680 N MAIN ST STE A
SUMMERVILLE, SC 29486

Berkeley County (843) 376-8020

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 Kelly Amanna's NPI number?

The NPI number for Kelly Amanna is 1154253300. It was assigned to this individual provider in the NPPES registry on June 2, 2026.

Where is Kelly Amanna located?

Kelly Amanna practices at 2680 N Main St Ste A, Summerville, SC 29486. The listed phone number is (843) 396-5804.

What is Kelly Amanna's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kelly Amanna was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.