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DR. JERRY C. KELLY DDS
NPI 1386853745
Dentist in Marshall, MO

Active since May 22, 2007
263 S JEFFERSON AVE, MARSHALL, MO 65340(660) 886-6843(660) 886-7855 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jerry C. Kelly Dds NPPES

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

DR. JERRY C. KELLY DDS (NPI 1386853745) is an individual dentist in Marshall, Missouri, licensed in Missouri (12712) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1386853745
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JERRY C. KELLYCredential: DDS
Location Address263 S JEFFERSON AVEMarshall, MO 65340-2134
Mailing Address263 S Jefferson AveMarshall, MO 65340-2134 · (660) 886-6843 · Fax (660) 886-7855
Phone(660) 886-6843
Fax(660) 886-7855
Sole ProprietorYes
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1386853745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 12712
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.
263 S JEFFERSON AVE, Marshall, MO 65340
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Other Identifiers 1

Other12712MO · State License

Other Providers at the Same Location NPPES 3

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

WRIGHT DENTAL LLC
Clinic/Center (Dental)
263 S JEFFERSON AVE
MARSHALL, MO 65340
Saline County (660) 886-6843
NIKI DENISE WRIGHT DDS
Dentist (General Practice)
263 S JEFFERSON AVE
MARSHALL, MO 65340
Saline County (660) 886-6843
MARSHALL DENTAL CARE, LLC
Clinic/Center (Dental)
263 S JEFFERSON AVE
MARSHALL, MO 65340
Saline County (660) 886-6843

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 Jerry Kelly's NPI number?

The NPI number for Jerry Kelly is 1386853745. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Jerry Kelly located?

Jerry Kelly practices at 263 S Jefferson Ave, Marshall, MO 65340. The listed phone number is (660) 886-6843.

What is Jerry Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerry Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.