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 provides 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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