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DR. KELLY MARIE DISTEFANO DMD
NPI 1710440508
Dentist in Worthington, OH

Active since April 09, 2019
69 E WILSON BRIDGE RD, WORTHINGTON, OH 43085(614) 431-3311 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2021, Jul 15, 2020, Apr 9, 2019 (3 updates tracked since 2019).

About Dr. Kelly Marie Distefano Dmd NPPES

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

DR. KELLY MARIE DISTEFANO DMD (NPI 1710440508) is an individual dentist in Worthington, Ohio, licensed in Ohio (30026045) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1710440508
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KELLY MARIE DISTEFANOCredential: DMD
Location Address69 E WILSON BRIDGE RDWorthington, OH 43085-2301
Mailing Address808 Yard St Apt 230Columbus, OH 43212-3909
Phone(614) 431-3311
Sole ProprietorNo
Enumeration DateApril 9, 2019
Last NPPES UpdateDecember 15, 20213 updates tracked since enumeration
NPPES CertifiedDecember 15, 2021
✔ NPI 1710440508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OH · 30026045
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.
69 E WILSON BRIDGE RD, Worthington, OH 43085
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Other Providers at the Same Location NPPES 5

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

DR. BILL COULMAN DDS INC
Dentist (General Practice)
69 E WILSON BRIDGE RD
WORTHINGTON, OH 43085
Franklin County (614) 431-3311
DR. WARREN NIKOLAUS GALL D.D.S.
Dentist
69 E WILSON BRIDGE RD
WORTHINGTON, OH 43085
Franklin County (614) 431-3311
DR. BROOKE CAMPBELL FOX DDS
Dentist (General Practice)
69 E WILSON BRIDGE RD
WORTHINGTON, OH 43085
Franklin County (614) 431-3311
MISSY R BAKER DDS
Dentist (General Practice)
69 E WILSON BRIDGE RD
WORTHINGTON, OH 43085
Franklin County (614) 431-3311
DR. LORI ANN CRONIN DDS
Dentist (General Practice)
69 E WILSON BRIDGE RD
WORTHINGTON, OH 43085
Franklin County (614) 431-3311

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 Distefano's NPI number?

The NPI number for Kelly Distefano is 1710440508. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Kelly Distefano located?

Kelly Distefano practices at 69 E Wilson Bridge Rd, Worthington, OH 43085. The listed phone number is (614) 431-3311.

What is Kelly Distefano'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 Kelly Distefano was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.