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DR. JOHN R KELLY DDS
NPI 1861615569
Dentist - Pediatric Dentistry in Port Matilda, PA

Active since April 11, 2007
1019 GHANER RD STE A, PORT MATILDA, PA 16870(814) 238-7120(814) 238-2981 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John R Kelly Dds NPPES

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

DR. JOHN R KELLY DDS (NPI 1861615569) is an individual pediatric dentistry provider in Port Matilda, Pennsylvania, licensed in Pennsylvania (DS-019843-L) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1861615569
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JOHN R KELLYCredential: DDS
Location Address1019 GHANER RD STE APort Matilda, PA 16870-7201
Mailing Address1019 Ghaner Rd Ste APort Matilda, PA 16870-7201 · (814) 238-7120 · Fax (814) 238-2981
Phone(814) 238-7120
Fax(814) 238-2981
Sole ProprietorNo
Enumeration DateApril 11, 2007
Last NPPES UpdateJune 16, 2014
✔ NPI 1861615569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in PA · DS-019843-L
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1019 GHANER RD STE A, Port Matilda, PA 16870
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Other Identifiers 1

Medicaid0005104610001PA

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.

DR. G. MATTHEW KREMSER DMD
Dentist (Pediatric Dentistry)
1019 GHANER RD STE A
PORT MATILDA, PA 16870
Centre County (814) 238-7120
DR. ROBERT L KILARESKI DDS
Dentist (Pediatric Dentistry)
1019 GHANER RD STE A
PORT MATILDA, PA 16870
Centre County (814) 238-7120
DR. JONATHAN HENRY KREMSER D.D.S
Dentist (Pediatric Dentistry)
1019 GHANER RD STE A
PORT MATILDA, PA 16870
Centre County (814) 238-7120

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 John Kelly's NPI number?

The NPI number for John Kelly is 1861615569. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is John Kelly located?

John Kelly practices at 1019 Ghaner Rd Ste A, Port Matilda, PA 16870. The listed phone number is (814) 238-7120.

What is John Kelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for John Kelly was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.