OrganizationActive
Kenneth R. Kelly, D.D.S, P.C.
NPI 1194734335 · General Practice Dentistry · Johnson City, TN
Provider details
- NPI number
- 1194734335
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kenneth Kelly, President/Practioner(423) 283-4175
- License
- DS2230 (TN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
402 Princeton Rd
Suite a
Johnson City, TN 37601-2057
Phone: (423) 283-4175
Fax: (423) 283-0443
Street-level locationGet directions
Mailing address
402 Princeton Rd
Johnson City, TN 37601-2057
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.