IndividualActive
Kelly Distefano, DMD
NPI 1710440508 · Dentist · Worthington, OH
Kelly Distefano, DMD is a Dentist provider in Worthington, OH (NPI 1710440508).
Provider details
- NPI number
- 1710440508
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 30026045 (OH)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
69 E Wilson Bridge Rd
Worthington, OH 43085-2301
Phone: (614) 431-3311
Street-level locationGet directions
Mailing address
808 Yard St Apt 230
Columbus, OH 43212-3909
Registry dates
- Enumerated
- 2019-04-09
- Last updated
- 2021-12-15
- Certified
- 2021-12-15
Frequently asked questions
- What is Kelly Distefano's NPI number?
- Kelly Distefano's National Provider Identifier (NPI) is 1710440508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Distefano's specialty?
- Kelly Distefano is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Kelly Distefano located?
- Kelly Distefano's practice location on file with NPPES is 69 E Wilson Bridge Rd, Worthington, OH 43085-2301.
- What is Kelly Distefano's phone number?
- The practice phone number listed in the NPPES registry for Kelly Distefano is (614) 431-3311.
- Is Kelly Distefano's NPI active?
- Yes — Kelly Distefano's NPI (1710440508) is active in the NPPES registry as of the last update on 2021-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.