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

Peter J Kelly, DDS

Individual provider Dentist · NPI 1649558412

Peter J Kelly, DDS is a Dentist in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2520 US Highway 1 S
St Augustine, FL 32086-6194
Phone: (904) 797-4833
Fax: (904) 797-7128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN19430 (FL)

Record details

NPI number1649558412
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 28, 2011
Last updated in NPPESMarch 29, 2013
Mailing address865 Balch Ave, Winter Park, FL 32789-4917

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