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KERRY KELLY D.D.S., P.C.
NPI 1700355849
Dentist in Ithaca, NY

Active since November 19, 2018
1025 N. TIOGA ST., ITHACA, NY 14850(607) 272-4331(607) 240-5618 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kerry Kelly D.d.s., P.c. NPPES

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

KERRY KELLY D.D.S., P.C. (NPI 1700355849), doing business as Integrative Oral Health, is a healthcare organization registered as a dentist in Ithaca, New York and active in the NPI registry since November 2018. The organization lists Kerry Lyn Kelly, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1700355849
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameKERRY KELLY D.D.S., P.C.
Location Address1025 N. TIOGA ST.Ithaca, NY 14850
Mailing Address1025 N. Tioga St.Ithaca, NY 14850 · (607) 272-4331 · Fax (607) 240-5618
Phone(607) 272-4331
Fax(607) 240-5618
Organization SubpartNo
Authorized OfficialKerry Lyn KellyOwner/dentist · (607) 272-4331
Enumeration DateNovember 19, 2018
✔ NPI 1700355849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
1025 N. TIOGA ST., Ithaca, NY 14850
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Other Names 1

Doing Business AsIntegrative Oral Health

Other Identifiers 1

Medicaid02050572NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kerry Kelly D.D.S., P.C.'s NPI number?

The NPI number for Kerry Kelly D.D.S., P.C. is 1700355849. It was assigned to this organization in the NPPES registry on November 19, 2018. The provider is doing business as Integrative Oral Health.

Where is Kerry Kelly D.D.S., P.C. located?

Kerry Kelly D.D.S., P.C. is located at 1025 N. Tioga St., Ithaca, NY 14850. The listed phone number is (607) 272-4331.

What is Kerry Kelly D.D.S., P.C.'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 Kerry Kelly D.D.S., P.C. was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.