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Debary Dentistry LLC

Dental Clinic/Center in Debary, FL · enumerated 2020 · authorized official Peter Kelly, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366078750

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Registry record

Entity type Organization (Type 2)
Legal business name Debary Dentistry LLC
Practice address 190 N Charles Richard Beall Blvd Ste 101, Debary, FL, 32713
Phone (386) 668-2003
Enumeration date Mar 17, 2020
Last updated in NPPES Mar 17, 2020

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Peter Kelly
Title Owner
Phone (410) 303-1528

Other identifiers

Identifier Type State Issuer
DN19430 Other FL STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Debary Dentistry LLC?
The NPI for Debary Dentistry LLC is 1366078750, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Debary Dentistry LLC?
NPPES lists Peter Kelly (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-17.