Dr. Kenneth J. Kelly , DDS
Dentist - General Practice • Braintree, MA
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. Kenneth Kelly has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kenneth Kelly, DDS was a registered Dentist - General Practice practicing in Braintree, MA. Throughout an active medical career spanning 13 years, Dr. Kelly provided care at the practice location at 111 GROSSMAN DR until profile deactivation on 2019-04-22.
Practice Location & Contact Primary Location
111 Grossman Dr
Braintree, MA 021844997
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Braintree, MA
Practicing in Braintree, MA (3722 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist - General Practice
Doctor of Dental Medicine
Dentist - Pediatric Dentistry
Doctor of Dental Surgery
Pediatrics
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 22, 2019
NPI status registered as active in NPPES database
Registered at 111 GROSSMAN DR, BRAINTREE, MA 021844997 (Tel: 7818492255)
Registered at 147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 021094806 (Tel: 6175598051)
Recorded as KENNETH KELLY, DDS
Dentist (License #15939 in MA)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
147 Milk St, Provider Enrollment 9th Floor
Boston, MA 021094806
Phone: 6175598051
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