Kerry Kelly D.d.s., P.c.

NPI #1700355849 in Ithaca, New York

Provider Information

NPI Number: 1700355849
Entity Type: Organization
Organization Name: Kerry Kelly D.d.s., P.c.
Primary Specialty: Dentist
Enumeration Date: Nov 19, 2018
Last Updated: Nov 19, 2018

Practice Location

Address: 1025 N. TIOGA ST.
City: Ithaca
State: New York
ZIP Code: 14850
Phone: (607) 272-4331

Authorized Official

Name: KERRY LYN KELLY, D.D.S., P.C
Title: OWNER/DENTIST
Phone: (607) 272-4331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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