Individual provider · Type 1 NPI

John R. Kelly, DDS

Pediatric Dentistry · Port Matilda, PA

NPI number 1861615569 Active

Practice location

1019 Ghaner Rd Ste A
Port Matilda, PA 16870-7201

Call (814) 238-7120 Map

Fax (814) 238-2981

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDS-019843-L (PA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3 other providers at this address

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About NPI 1861615569

John R. Kelly, DDS's National Provider Identifier is 1861615569, issued on Apr 11, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Port Matilda, PA. The record was last updated on Jun 16, 2014.