Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508876566 Individual Practitioner Female Practitioner

Dr. Kelly Carrothers Mantei , DDS

Dentist - General Practice • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Mantei, DDS is a registered healthcare professional specializing in Dentist - General Practice in St Augustine, FL. Practice services are available at 2225 A1A S STE A3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2225 A1a S Ste A3

St Augustine, FL 320806374

Telephone 9044717300
Fax 9044712708
Associated Practice Facility / Clinic
🏢 St. Johns Family Dentistry Facility NPI 1538322441

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
44 Specialists

Practicing in St Augustine, 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 DN15067

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Maria Rojas Salcedo , DMD

Dentist - General Practice

NPI 1174184022

Doctor of Dental Medicine

NPI 1194400010

Doctor of Dental Medicine

NPI 1386876084
NPI 1578819819

Doctor of Dental Medicine

NPI 1780816405

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2016

Registered at 2225 A1A S STE A3, ST AUGUSTINE, FL 320806374 (Tel: 9044717300)

📍
Updated Business Mailing Address May 09, 2016

Registered at 2225 A1A S STE A3, ST AUGUSTINE, FL 320806374 (Tel: 9044717300)

👤
Provider Name / Credentials Updated May 09, 2016

Recorded as KELLY MANTEI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2016

Dentist (License #DN15067 in FL)

🟢
Initial NPI Registration & Enumeration August 09, 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: 1508876566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: May 09, 2016
Sole Proprietor: No

Mailing Address

2225 A1a S Ste A3

St Augustine, FL 320806374

Phone: 9044717300

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.