PETER J KELLY DDS
NPI 1649558412
Dentist in St Augustine, FL

Active since July 28, 2011
2520 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086(904) 797-4833(904) 797-7128 Get Directions Write a Review

NPPES record last updated: March 29, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Peter J Kelly Dds NPPES

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

PETER J KELLY DDS (NPI 1649558412) is an individual dentist in St Augustine, Florida, licensed in Florida (DN19430) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1649558412
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NamePETER J KELLYCredential: DDS
Location Address2520 US HIGHWAY 1 SSt Augustine, FL 32086-6194
Mailing Address865 Balch AveWinter Park, FL 32789-4917 · (407) 629-2161 · Fax (407) 629-2847
Fax(904) 797-7128
Sole ProprietorNo
Enumeration DateJuly 28, 2011
Last NPPES UpdateMarch 29, 2013
NPI 1649558412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in FL · DN19430
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.

2520 US HIGHWAY 1 S, St Augustine, FL 32086

Accepted Insurance

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.

Dentist (General Practice)
2520 US HIGHWAY 1 S
ST AUGUSTINE, FL 32086
Dentist (General Practice)
2520 US HIGHWAY 1 S
ST AUGUSTINE, FL 32086
Dentist
2520 US HIGHWAY 1 S
ST AUGUSTINE, FL 32086

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649558412, enumerated as an "individual" on July 28, 2011.

The provider is located at 2520 US HIGHWAY 1 S ST AUGUSTINE, FL 32086 and the phone number is (904) 797-4833.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, Anthem Blue. Please consult your insurance carrier or call the provider to verify.