DR. TERRY MICHAEL KELLY (NPI# 1750588059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750588059 |
| Entity Type | Individual |
| Full Name | DR. TERRY MICHAEL KELLY |
| Credential | DMD |
| Practice Address |
10150 Highland Manor Dr Suite 145 Tampa FL 33610-9713 |
| Practice Telephone | 8136822401 |
| Practice Fax Number | 8136822402 |
| Mailing Telephone | 8136822401 |
| Mailing Fax Number | 8136822402 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2016-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DN11407 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE | DN11407 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053494898 | Terry Kelly | Counselor | 1716 University Ave S, Fairbanks, AK 99709-4904 | 2006-10-23 |
| 1801863568 | Terry Kelly | Family Medicine | 56 Duplainville Rd, Saratoga Springs, NY 12866-9020 | 2006-03-02 |
| 1912342304 | Terry Richard Kelly | Massage Therapist | 140 Pine Grove Cmns, York, PA 17403-5151 | 2013-04-30 |
| 1124104898 | Terry Kelly | Counselor | 115 Liberty St, Bath, NY 14810-1508 | 2006-10-27 |
| Street Address |
10150 HIGHLAND MANOR DR SUITE 145 |
| City | TAMPA |
| State | FL |
| Zip Code | 33610-9713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194706051 | Alpha Bridge Connections, LLC | Internal Medicine | 10150 Highland Manor Dr, Suite 300, Tampa, FL 33610-9712 | 2005-11-08 |
| 1861048670 | Jessica Smith | Behavior Technician | 10150 Highland Manor Dr, Tampa, FL 33610-9713 | 2019-08-16 |
| 1144780842 | Imani Noel | Behavior Technician | 10150 Highland Manor Dr, Tampa, FL 33610-9713 | 2019-03-20 |
| 1366948366 | Leotis Pulliam | Health Educator | 10150 Highland Manor Dr, Tampa, FL 33610-9713 | 2018-03-30 |
| 1477058774 | Sandra Hector | Nutritionist | 10150 Highland Manor Dr, Tampa, FL 33610-9713 | 2018-03-28 |
| 1285138388 | Nikole Kirk | Health Educator | 10150 Highland Manor Dr, Tampa, FL 33610-9713 | 2018-03-22 |
| 1710499306 | Alfreida Pulliam | Health Educator | 10150 Highland Manor Dr, Tampa, FL 33610-9713 | 2017-11-03 |
| 1205347184 | Vickie Renea Walters-nunn | Health Educator | 10150 Highland Manor Dr, Tampa, FL 33610-9713 | 2017-10-18 |
| 1952747206 | Refresh Psychological Services, LLC | Psychologist | 10150 Highland Manor Dr, Suite 200, Tampa, FL 33610-9713 | 2013-05-14 |
| 1619289287 | Cherrolyln C Smith, Phd | Psychologist | 10150 Highland Manor Dr, Suite 200, Tampa, FL 33610-9713 | 2010-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
| 1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
| Find all providers in zip 33610 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650540 | Zineb Mediouni Dmd Pa | Dentist | 14502 N Dale Mabry Hwy Ste 102, Tampa, FL 33618-2076 | 2020-08-19 |
| 1588686463 | Mohammad Reza Iranmanesh | Dentist | 2814 W Waters Ave, Tampa, FL 33614-1853 | 2006-07-23 |
| 1265055628 | Nima Iranmanesh | Dentist | 2814 W Waters Ave, Tampa, FL 33614-1853 | 2020-05-20 |
| 1972640563 | Terry M. Kelly Dmd Pa | Dentist | 12902 Magnolia Drive, Head and Neck Clinic, Tampa, FL 33612 | 2007-01-31 |
| 1407947849 | Luis A Alicea | Dentist | 7340 W Waters Ave, Tampa, FL 33634-2222 | 2006-09-28 |
| 1912012261 | Frederick Sanford Muenchinger | Dentist | 3450 E Fletcher Ave, Suite 320, Tampa, FL 33613-4655 | 2006-08-20 |
| 1023083813 | Sterling C. Beasley | Dentist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2006-02-23 |
| 1437124237 | Lori C. Ransohoff | Dentist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2006-02-23 |
| 1801881248 | Barry Craig Ries | Dentist | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728078 | Mohammad Reza Azari Samani | Dentist | 14453 Beach Blvd Ste 100, Jacksonville, FL 32250-2081 | 2020-04-09 |
| 1013562941 | Blanding Dental Associates P.a. | Dentist | 767 Blanding Blvd Ste 108, Orange Park, FL 32065-5788 | 2019-08-07 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1700365145 | Carlos Soucy Aranguren | Dentist | 1395 Center Dr Rm D9-39d, Gainesville, FL 32610-3006 | 2018-08-07 |
| 1790278448 | Marcela Cardona Echeverri | Dentist | 3872 San Simeon Cir, Weston, FL 33331-5056 | 2018-06-07 |
| 1942704499 | Ngoc Trang Caroline Truong | Dentist | 1395 Center Driveroom D1-19, Gainesville, FL 32610-0001 | 2018-03-20 |
| 1851812515 | Martin Sebastian Lalama | Dentist | 2441 Nw 43rd St Ste 16, Gainesville, FL 32606-6676 | 2017-07-03 |
| 1619497021 | Leila Ahmadian Khoshe Mehr | Dentist | 929 Falling Water Rd, Weston, FL 33326-3555 | 2017-06-27 |
| 1548611510 | Rocio Barocio Torano | Dentist | 2425 Brunello Trce, Lutz, FL 33558-7800 | 2016-06-30 |
| 1659726537 | Alicia Maria Toro | Dentist | 5341 Sw 160th Ave, Southwest Ranches, FL 33331-1410 | 2016-04-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.