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

Dr. Kelly Marie Distefano, DMD

Individual provider Dentist · NPI 1710440508

Dr. Kelly Marie Distefano, DMD is a Dentist in Worthington, Ohio. Licensed in Ohio. Registered with an NPI since 2019.

Licensed in
OH
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

69 E Wilson Bridge Rd
Worthington, OH 43085-2301
Phone: (614) 431-3311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30026045 (OH)

Record details

NPI number1710440508
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 9, 2019
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021

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