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

Kelly Rustico

Individual provider General Practice Dentistry · NPI 1801282769

Kelly Rustico is a General Practice Dentistry in Columbus, Ohio. Works from 4 locations. Licensed in California, Ohio and Virginia.

Licensed in
CA, OH, VA
In the registry since
2015
Specialties on file
4
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Practice location Address checks out

305 W 12th Ave
Columbus, OH 43210-1267
Phone: (614) 292-0880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4725 Market St, San Diego, CA 92102-4715 — (619) 515-2420
  • 305 W 12th Ave, Columbus, OH 43210-1267 — (614) 292-0880
  • 1600 Wilson Blvd Ste 620, Arlington, VA 22209-2596 — (703) 524-0288

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30.025097 (OH)
General Practice Dentistry Taxonomy 1223G0001X · Licence DDS102193 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 0401414839 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801282769
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2015
Last updated in NPPESOctober 29, 2023
Certification dateOctober 29, 2023
Mailing address1189 Leicester Pl, Columbus, OH 43235-2181

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