Active NPI 1801942289 Individual Practitioner Male Practitioner

Dr. John Roy Kelley , DDS

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. John Kelley, DDS is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at 3733 SOUTHSIDE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3733 Southside Blvd
Suites 5 & 6

Jacksonville, FL 322164684

Telephone 9049960111

Fax 9049960140

Associated Practice Facility / Clinic

🏢 Smilecare Dental Associates Pa Facility NPI 1629107537

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 15.0 Yrs

Regional Practice Density

363 Specialists

Practicing in Jacksonville, FL (7473 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN2927

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 3733 SOUTHSIDE BLVD, SUITES 5 & 6, JACKSONVILLE, FL 322164684 (Tel: 9049960111)

📍

Updated Business Mailing Address July 08, 2007

Registered at 9000 GOLFSIDE DRIVE, SUITE B, JACKSONVILLE, FL 322567793 (Tel: 9043671722)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN KELLEY, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN2927 in FL)

🟢

Initial NPI Registration & Enumeration January 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801942289

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 26, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9000 Golfside Drive, Suite B

Jacksonville, FL 322567793

Phone: 9043671722

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.