Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MITCHELL PATRICK KELLERMAN D.D.S.
NPI 1740110824
Dentist in Parris Island, SC

Active since May 21, 2026
674 BLVD DE FRANCE, MCRD PARRIS ISLAND DENTAL CLINIC, PARRIS ISLAND, SC 29905(843) 228-3500 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 4, 2026, May 21, 2026 (2 updates tracked since 2026).

About Mitchell Patrick Kellerman D.d.s. NPPES

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

MITCHELL PATRICK KELLERMAN D.D.S. (NPI 1740110824) is an individual dentist in Parris Island, South Carolina, licensed in Michigan (2901602944) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1740110824
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMITCHELL PATRICK KELLERMANCredential: D.D.S.
Location Address674 BLVD DE FRANCE, MCRD PARRIS ISLAND DENTAL CLINICParris Island, SC 29905
Mailing Address674 Blvd De France, Mcrd Parris Island Dental ClinicParris Island, SC 29905 · (843) 228-3500
Sole ProprietorYes
Enumeration DateMay 21, 2026
Last NPPES UpdateSeptember 4, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
NPI 1740110824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MI · 2901602944
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.
674 BLVD DE FRANCE, Parris Island, SC 29905

Other Providers at the Same Location NPPES 8

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

Dentist
674 BLVD DE FRANCE
PARRIS ISLAND, SC 29905
Dentist
674 BLVD DE FRANCE
PARRIS ISLAND, SC 29905
Dentist
674 BLVD DE FRANCE, MCRD PARRIS ISLAND DENTAL BLDG
PARRIS ISLAND, SC 29905
Dentist
674 BLVD DE FRANCE, MCRD PARRIS ISLAND DENTAL CLINIC
PARRIS ISLAND, SC 29905
Dentist
674 BLVD DE FRANCE, BUILDING 674
PARRIS ISLAND, SC 29905
Dentist
674 BLVD DE FRANCE
PARRIS ISLAND, SC 29905
Dentist (General Practice)
674 BLVD DE FRANCE, DENTAL CLINIC
PARRIS ISLAND, SC 29905
Dentist
674 BLVD DE FRANCE, BUILDING 674
FPO, AA 29905

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 Mitchell Kellerman's NPI number?

The NPI number for Mitchell Kellerman is 1740110824. It was assigned to this individual provider in the NPPES registry on May 21, 2026.

Where is Mitchell Kellerman located?

Mitchell Kellerman practices at 674 Blvd De France Mcrd Parris Island Dental Clinic, Parris Island, SC 29905. The listed phone number is (843) 228-3500.

What is Mitchell Kellerman'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 Mitchell Kellerman was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.