Kenneth R. Kelly, D.d.s, P.c. - Dental Clinic in Johnson City, TN

Kenneth R. Kelly, D.d.s, P.c. is a dental clinic (Dentist - General Practice) in Johnson City, Tennessee. The current practice location for Kenneth R. Kelly, D.d.s, P.c. is 402 Princeton Rd, Suite A, Johnson City, Tennessee. For appointments, you can reach them via phone at (423) 283-4175. The mailing address for Kenneth R. Kelly, D.d.s, P.c. is 402 Princeton Rd, Suite A, Johnson City, Tennessee and phone number is (423) 283-4175.

Kenneth R. Kelly, D.d.s, P.c. is licensed to practice in Tennessee (license number DS2230) and its NPI number is 1194734335. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (423) 283-4175.

Contact Information

Kenneth R. Kelly, D.d.s, P.c.
402 Princeton Rd
Suite A
Johnson City
TN 37601-2057
(423) 283-4175
(423) 283-0443

Map and Direction


Dental Care Clinic Profile

Full NameKenneth R. Kelly, D.d.s, P.c.
SpecialityDentist - General Practice
Location402 Princeton Rd, Johnson City, Tennessee
Authorized Official Name and PositionKenneth R. Kelly (PRESIDENT/PRACTIONER)
Authorized Official Contact4232834175
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth R. Kelly, D.d.s, P.c.
402 Princeton Rd
Suite A
Johnson City
TN 37601-2057

Ph: (423) 283-4175
Kenneth R. Kelly, D.d.s, P.c.
402 Princeton Rd
Suite A
Johnson City
TN 37601-2057

Ph: (423) 283-4175

NPI Details:

NPI Number1194734335
Provider Enumeration Date08/05/2006
Last Update Date08/22/2020

Medical Identifiers

Medical identifiers for Kenneth R. Kelly, D.d.s, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194734335NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DS2230 (Tennessee)Primary

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.