Dr. John R Kelly is a Port Matilda, Pennsylvania based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. John R Kelly is
DS-019843-L for Pediatric Dentistry in Pennsylvania. His current practice location is
1019 Ghaner Rd Ste A, Port Matilda. Patients can reach him at
814-238-7120.
Dr. John R Kelly provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. John R Kelly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. John R Kelly |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1019 Ghaner Rd Ste A, Port Matilda,
Pennsylvania, 16870-7201 |
| Phone: | 814-238-7120 |
| Fax: | 814-238-2981 |
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 are as mentioned below.
| NPI Number: | 1861615569 |
| NPI Enumeration Date: | 11 Apr, 2007 |
| NPI Last Update On: | 16 Jun, 2014 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John R Kelly are as mentioned below.
| License Number | Specialization | State | Status | |
| DS-019843-L | Pediatric Dentistry | Pennsylvania | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. John R Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0005104610001 | Medicaid | Pennsylvania | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1019 Ghaner Rd Ste A,
Port Matilda, Pennsylvania |
| Zip: | 16870-7201 |
| Phone Number: | 814-238-7120 |
| Fax Number: | 814-238-2981 |
Patients can reach Dr. John R Kelly at
1019 Ghaner Rd Ste A, Port Matilda, Pennsylvania or can
call to book an appointment on 814-238-7120.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.