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DR. KENNETH RAYMOND KELLY DDS
NPI 1396914990
Dentist in Johnson City, TN

Active since February 27, 2008
402 PRINCETON RD, SUITE A, JOHNSON CITY, TN 37601(423) 283-4175 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Raymond Kelly Dds NPPES

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

DR. KENNETH RAYMOND KELLY DDS (NPI 1396914990) is an individual dentist in Johnson City, Tennessee, licensed in Tennessee (DS2230) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1396914990
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KENNETH RAYMOND KELLYCredential: DDS
Location Address402 PRINCETON RD, SUITE AJohnson City, TN 37601-2057
Mailing Address402 Princeton Rd, Suite AJohnson City, TN 37601-2057 · (423) 283-4175
Phone(423) 283-4175
Sole ProprietorNo
Enumeration DateFebruary 27, 2008
✔ NPI 1396914990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TN · DS2230
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.
402 PRINCETON RD, Johnson City, TN 37601
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Other Providers at the Same Location NPPES 2

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

KENNETH R. KELLY, D.D.S, P.C.
Dentist (General Practice)
402 PRINCETON RD, SUITE A
JOHNSON CITY, TN 37601
Washington County (423) 283-4175
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
402 PRINCETON RD
JOHNSON CITY, TN 37601
Washington County (423) 854-9340

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 Kenneth Kelly's NPI number?

The NPI number for Kenneth Kelly is 1396914990. It was assigned to this individual provider in the NPPES registry on February 27, 2008.

Where is Kenneth Kelly located?

Kenneth Kelly practices at 402 Princeton Rd Suite A, Johnson City, TN 37601. The listed phone number is (423) 283-4175.

What is Kenneth 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 Kenneth Kelly was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.