Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1619951738 Deactivated / Inactive NPI Male Practitioner

Dr. William J Kelly , DDS

Dentist • Oswego, NY

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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. William Kelly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 01, 2005
NPI Deactivation Date January 13, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. William Kelly, DDS was a registered Dentist practicing in Oswego, NY. Throughout an active medical career spanning 12 years, Dr. Kelly provided care at the practice location at 12 NEW STREET until profile deactivation on 2017-01-13.

Practice Location & Contact Primary Location

Practice Address

12 New Street

Oswego, NY 13126

Telephone 3153425800
Fax 3153422014
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Oswego, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
14 Specialists

Practicing in Oswego, NY (6355 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

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

3 Associated Practitioners
NPI 1184749533

Doctor of Dental Surgery

NPI 1548246077

Doctor of Dental Medicine

NPI 1780941906

Doctor of Dental Medicine

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 January 13, 2017

Record deactivated on January 13, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 12 NEW STREET, OSWEGO, NY 13126 (Tel: 3153425800)

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Updated Business Mailing Address July 08, 2007

Registered at 220 EAST 5TH STREET, OSWEGO, NY 13126 (Tel: 3153432509)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM KELLY, DDS

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

Dentist

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Initial NPI Registration & Enumeration December 01, 2005

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: 1619951738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2005
Last Update: July 08, 2007
Deactivation Date: January 13, 2017

Mailing Address

220 East 5th Street

Oswego, NY 13126

Phone: 3153432509

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.