Kerry Kelly D.D.S., P.C.
Kerry Kelly D.D.S., P.C. is a healthcare organization registered as Dentist in Ithaca, NY, holding Type 2 (organization) NPI 1700355849 since 2018. The authorized official on file is Kerry Kelly, Owner/Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700355849 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kerry Kelly D.D.S., P.C. |
| Practice address | 1025 N. TIOGA ST., Ithaca, NY, 14850 |
| Phone | 6072724331 |
| Fax | 6072405618 |
| Enumeration date | 2018-11-19 |
| Last updated in NPPES | 2018-11-19 |
Authorized official
| Name | Kerry Kelly |
|---|---|
| Title | Owner/Dentist |
| Phone | 6072724331 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02050572 | Medicaid | NY | — |
Copy-ready billing details
Provider: Kerry Kelly D.D.S., P.C. NPI: 1700355849 Taxonomy: 122300000X (Dentist) Address: 1025 N. TIOGA ST., Ithaca, NY, 14850
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1194866376 | Chris Devenpeck | Individual | Dentist | Ithaca, NY |
| 1538588926 | Erin Bates | Individual | Dentist | Ithaca, NY |
| 1558847533 | Ira Kamp DDS | Organization | Durable Medical Equipment & Medical Supplies | Ithaca, NY |
| 1023579034 | Carly Alanouf | Individual | General Practice Dentistry | Ithaca, NY |
| 1902441488 | Michelle Lee | Individual | Dental Hygienist | Ithaca, NY |
| 1538840590 | Gabrielle Findley | Individual | Dentist | Ithaca, NY |
Verify this record
Cross-check NPI 1700355849 against the authoritative CMS record: view Kerry Kelly D.D.S., P.C. on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Kerry Kelly D.D.S., P.C.?
What is the NPI number for Kerry Kelly D.D.S., P.C.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-11-19.