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Kerry Kelly D.D.S., P.C.

Dentist in Ithaca, NY · enumerated 2018 · authorized official Kerry Kelly, Owner/Dentist.

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

National Provider Identifier

1700355849

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Registry record

Entity type Organization (Type 2)
Legal business name Kerry Kelly D.D.S., P.C.
Practice address 1025 N. Tioga St., Ithaca, NY, 14850
Fax (607) 240-5618
Enumeration date Nov 19, 2018
Last updated in NPPES Nov 19, 2018

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Kerry Kelly
Title Owner/Dentist

Other identifiers

Identifier Type State Issuer
02050572 Medicaid NY -

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

Who is the authorized official for Kerry Kelly D.D.S., P.C.?
NPPES lists Kerry Kelly (Owner/Dentist) as the authorized official for this organization.
What is the NPI number for Kerry Kelly D.D.S., P.C.?
The NPI for Kerry Kelly D.D.S., P.C. is 1700355849, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-11-19.