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JENNIFER RUTH KELLEY DDS
NPI 1780678748
Dentist - General Practice in Granville, NY

Active since September 07, 2005
89 NORTH ST, GRANVILLE, NY 12832(518) 642-2111(518) 642-2891 Get Directions Write a Review

NPPES record last updated: June 4, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jennifer Ruth Kelley Dds NPPES

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

JENNIFER RUTH KELLEY DDS (NPI 1780678748) is an individual general practice provider in Granville, New York, licensed in New York (04287) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1780678748
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJENNIFER RUTH KELLEYCredential: DDS
Location Address89 NORTH STGranville, NY 12832-1138
Mailing Address89 North StGranville, NY 12832-1138 · (518) 642-2111 · Fax (518) 642-2891
Phone(518) 642-2111
Fax(518) 642-2891
Sole ProprietorNo
Enumeration DateSeptember 7, 2005
Last NPPES UpdateJune 4, 2012
✔ NPI 1780678748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 04287
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
89 NORTH ST, Granville, NY 12832
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Other Identifiers 2

Medicaid100-3247VT
Medicaid01196652NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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.

DR. HARVEY SAMUEL COCO DMD
Dentist (General Practice)
89 NORTH ST
GRANVILLE, NY 12832
Washington County (518) 642-2111
FAMILY DENTISTRY PC
Dentist
89 NORTH ST
GRANVILLE, NY 12832
Washington County (518) 642-2111

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 Jennifer Kelley's NPI number?

The NPI number for Jennifer Kelley is 1780678748. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Jennifer Kelley located?

Jennifer Kelley practices at 89 North St, Granville, NY 12832. The listed phone number is (518) 642-2111.

What is Jennifer Kelley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jennifer Kelley accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Jennifer Kelley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Kelley was last updated on June 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.