Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275837825 Individual Practitioner Male Practitioner

Dr. Jeremiah Joseph Kelliher , DDS

Dentist • Springfield, VA

Professional Overview & Biography Verified Profile Summary

Dr. Jeremiah Kelliher, DDS is a registered healthcare professional specializing in Dentist in Springfield, VA. Practice services are available at 6120 BRANDON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6120 Brandon Ave
Suite 211

Springfield, VA 221502522

Telephone 7034515030
Associated Practice Facility / Clinic
🏢 Spine Arts Center Facility NPI 1649298415

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Springfield, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
34 Specialists

Practicing in Springfield, VA (2514 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 VA 0401006572

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

1 Associated Practitioners
Dr. Sean Kelliher , DDS

Dentist - General Practice

NPI 1962788190

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 December 22, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2010

Registered at 6120 BRANDON AVE, SUITE 211, SPRINGFIELD, VA 221502522 (Tel: 7034515030)

📍
Updated Business Mailing Address December 22, 2010

Registered at 6120 BRANDON AVE, SUITE 211, SPRINGFIELD, VA 221502522 (Tel: 7034515030)

👤
Provider Name / Credentials Updated December 22, 2010

Recorded as JEREMIAH KELLIHER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2010

Dentist (License #0401006572 in VA)

🟢
Initial NPI Registration & Enumeration December 22, 2010

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: 1275837825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2010
Last Update: December 22, 2010
Sole Proprietor: Yes

Mailing Address

6120 Brandon Ave, Suite 211

Springfield, VA 221502522

Phone: 7034515030

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.