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Deactivated NPI 1114028529 Deactivated / Inactive NPI Male Practitioner

Dr. Dennis F Kelly , DMD

Dentist • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dennis Kelly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 26, 2006
NPI Deactivation Date May 07, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Dennis Kelly, DMD was a registered Dentist practicing in Jacksonville, FL. Throughout an active medical career spanning 20 years, Dr. Kelly provided care at the practice location at 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND until profile deactivation on 2026-05-07.

Practice Location & Contact Primary Location

Practice Address

2005 Knight Lane Navy Medicine Support Command
Attn: Medical Staff Services Bldg. H

Jacksonville, FL 322120140

Telephone 9045427200
Associated Practice Facility / Clinic
🏢 United States Navy Facility NPI 1427328319

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
295 Specialists

Practicing in Jacksonville, FL (6414 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN14751

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
NPI 1063495919

Doctor of Audiology

NPI 1093782344

Doctor of Dental Surgery

NPI 1114151453

Registered Pharmacist

Dr. Timothy Howarth , DMD, MSD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1164771341

Doctor of Dental Medicine, MSD

Dr. Cathern Krupinski , DDS

Dentist - General Practice

NPI 1225479942

Doctor of Dental Surgery

Dr. Gustavo Lores , DDS

Dentist - Prosthodontics

NPI 1235227398

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 07, 2026

Record deactivated on May 07, 2026

NPI Profile Active February 08, 2010

NPI status registered as active in NPPES database

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Updated Practice Location February 08, 2010

Registered at 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND, ATTN: MEDICAL STAFF SERVICES BLDG. H, JACKSONVILLE, FL 322120140 (Tel: 9045427200)

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Updated Business Mailing Address February 08, 2010

Registered at 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND, ATTN: MEDICAL STAFF SERVICES BLDG. H, JACKSONVILLE, FL 322120140 (Tel: 9045427200)

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Provider Name / Credentials Updated February 08, 2010

Recorded as DENNIS KELLY, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2010

Dentist (License #DN14751 in FL)

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Initial NPI Registration & Enumeration September 26, 2006

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: 1114028529
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: February 08, 2010
Deactivation Date: May 07, 2026

Mailing Address

2005 Knight Lane Navy Medicine Support Command, Attn: Medical Staff Services Bldg. H

Jacksonville, FL 322120140

Phone: 9045427200

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.