Kerry Kelly D.d.s., P.c. is a Dental Clinic in Ithaca, New York. It is located at 1025 N. Tioga St., Ithaca, NY and its contact number is 607-272-4331. The authorized person for Kerry Kelly D.d.s., P.c. is Kerry Lyn Kelly
who is Owner/dentist of the clinic and their contact number is 607-272-4331.
Kerry Kelly D.d.s., P.c. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Kerry Kelly D.d.s., P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Kerry Kelly D.d.s., P.c. |
| Specialization: | Dentistry |
| Clinic Address: | 1025 N. Tioga St., Ithaca,
New York, 14850 |
| Phone: | 607-272-4331 |
| Fax: | 607-240-5618 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Kerry Lyn Kelly |
| Position: | Owner/dentist |
| Contact Number: | 607-272-4331 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kerry Kelly D.d.s., P.c. clinic are as mentioned below.
| NPI Number: | 1700355849 |
| NPI Enumeration Date: | 19 Nov, 2018 |
| NPI Last Update On: | 19 Nov, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kerry Kelly D.d.s., P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 02050572 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kerry Kelly D.d.s., P.c.
1025 N. Tioga St.,
Ithaca, New York |
| Zip: | 14850 |
| Phone Number: | 607-272-4331 |
| Fax Number: | 607-240-5618 |
Patients can reach Kerry Kelly D.d.s., P.c. at
1025 N. Tioga St., Ithaca, New York or can
call to book an appointment on 607-272-4331.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.