Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Terry M. Kelly DMD PA

Organization Prosthodontics · NPI 1972640563

Terry M. Kelly DMD PA is a Prosthodontics in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12902 Magnolia Drive Head And Neck Clinic
Tampa, FL 33612
Phone: (813) 979-3968
Fax: (813) 745-7464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence DN11407 (FL)

Record details

NPI number1972640563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Kelly — Owner Dentist · (813) 745-3968
NPI enumeratedJanuary 31, 2007
Last updated in NPPESAugust 22, 2020
Mailing address701 S Howard Ave Ste 106-307, Tampa, FL 33606-2473

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