OrganizationActive
Debary Dentistry LLC
NPI 1366078750 · Dental Clinic/Center · Debary, FL
Provider details
- NPI number
- 1366078750
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Peter Kelly, Owner(410) 303-1528
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
190 N Charles Richard Beall Blvd Ste 101
Debary, FL 32713-2271
Phone: (386) 668-2003
Street-level locationGet directions
Mailing address
190 N Charles Richard Beall Blvd Ste 101
Debary, FL 32713-2271
Registry dates
- Enumerated
- 2020-03-17
- Last updated
- 2020-03-17
- Certified
- 2020-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.