Peter J. Kelly, DDS

Dentist · St Augustine, FL

Individual Active NPI

NPI number 1649558412

Practice location

2520 Us Highway 1 S
St Augustine, FL 32086-6194
Phone
(904) 797-4833
Fax
(904) 797-7128

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NPI record

NPI
1649558412
Entity type
Individual (Type 1)
Enumeration date
July 28, 2011
Last updated
March 29, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN19430 FL

Mailing address

865 Balch Ave
Winter Park, FL 32789-4917
Phone
(407) 629-2161
Fax
(407) 629-2847

About Dr. Kelly

Peter J. Kelly, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2520 Us Highway 1 S, St Augustine, FL 32086-6194. The NPI number 1649558412 was assigned on July 28, 2011 and the record was last updated on March 29, 2013.

Dr. Kelly lists a license in the registry: #DN19430 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter J. Kelly, DDS?

The NPI number is 1649558412.

What is the phone number of Dr. Kelly?

The phone number listed for the practice location is (904) 797-4833.

Where is Dr. Kelly located?

2520 Us Highway 1 S, St Augustine, FL 32086-6194.

What is the taxonomy code for Dr. Kelly?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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