Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386853745 Individual Practitioner Male Practitioner

Dr. Jerry C. Kelly , DDS

Dentist • Marshall, MO

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Kelly, DDS is a registered healthcare professional specializing in Dentist in Marshall, MO. Practice services are available at 263 S JEFFERSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

263 S Jefferson Ave

Marshall, MO 653402134

Telephone 6608866843
Fax 6608867855
Associated Practice Facility / Clinic
🏢 Marshall Dental Care, Llc Facility NPI 1962918425

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Marshall, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Marshall, MO (1740 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 MO 12712

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
12712 (MO)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Niki Wright , DDS

Dentist - General Practice

NPI 1881186716

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 July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 263 S JEFFERSON AVE, MARSHALL, MO 653402134 (Tel: 6608866843)

📍
Updated Business Mailing Address July 08, 2007

Registered at 263 S JEFFERSON AVE, MARSHALL, MO 653402134 (Tel: 6608866843)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY KELLY, DDS

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

Dentist (License #12712 in MO)

🟢
Initial NPI Registration & Enumeration May 22, 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: 1386853745
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

263 S Jefferson Ave

Marshall, MO 653402134

Phone: 6608866843

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.