DR. KELLY CHONG (NPI# 1861052706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861052706 |
| Entity Type | Individual |
| Full Name | DR. KELLY CHONG |
| Credential | DDS |
| Practice Address |
800 E Merritt Island Cswy Ste 105 Merritt Island FL 32952-3514 |
| Mailing Address |
4698 Sw 158th Ct Miami FL 33185-3874 |
| Practice Telephone | 3214538882 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN24177 | FL | Dental Providers |
| Street Address |
800 E MERRITT ISLAND CSWY STE 105 |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32952-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710499538 | Cornerstone Dentistry Holdings Pllc | Dentist | 800 E Merritt Island Cswy Ste 105, Merritt Island, FL 32952-3514 | 2017-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841761673 | Pushpa Daliya | Physical Medicine & Rehabilitation | 1200 S Courtenay Pkwy, Merritt Island, FL 32952 | 2018-12-05 |
| 1407335458 | Merritt Island Outpatient Surgery Center, LLC | Clinic/Center | 450 E Merritt Island Cswy Ste 400, Merritt Island, FL 32952 | 2018-08-10 |
| 1760903272 | Harold A Utt Jr. | Audiologist | 105 N. Banana River Drive, Merritt Island, FL 32952 | 2017-07-06 |
| 1942720982 | Cadiz Senior Care | Assisted Living Facility | 1970 Farrington Drive, Merritt Island, FL 32952 | 2017-06-21 |
| 1891230884 | Jessica Orcel | Behavioral Analyst | 1680 E. Central Avenue, Merritt Island, FL 32952 | 2016-12-29 |
| 1770039539 | Haley Haskins | Student in an Organized Health Care Education/Training Program | 1655 Yates Dr., Merritt Island, FL 32952 | 2016-08-31 |
| 1891150900 | Kristin Stevenson | Case Management | 262 Island Beach Blvd, Mirritt Island, FL 32952 | 2015-12-17 |
| 1568835080 | Brilliant Smiles Orthodontics | Health Maintenance Organization | 455 Magnolia Avenue, Merritt Island, FL 32952 | 2015-11-05 |
| 1184967184 | Roseann Judith Simone | Assisted Living Facility | 280 Bahama Dr, Angel Guardian, Cocoa Beach, FL 32952 | 2013-03-28 |
| 1942558861 | Daven H Patel | Dentist | 800 E. Merritt Island Causeway, Merritt Island, FL 32952 | 2012-08-27 |
| Find all providers in zip 32952 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255823076 | Mona Durani | Dentist | 775 E Merritt Island Cswy Ste 220, Merritt Island, FL 32952-3311 | 2018-06-06 |
| 1942558861 | Daven H Patel | Dentist | 800 E. Merritt Island Causeway, Merritt Island, FL 32952 | 2012-08-27 |
| 1154614758 | Duongvannak Keo, Dmd | Dentist | 295 S. Plumosa, Merritt Island, FL 32952 | 2011-05-16 |
| 1639486640 | Michelle M. Dorsey | Dentist | 325 E Merritt Island Cswy Ste M, Merritt Island, FL 32952-3670 | 2010-09-13 |
| 1346554391 | Dental Practice Group of Florida | Dentist | 8586 Eden Isles Ln, Merritt Island, FL 32952-6800 | 2010-08-02 |
| 1891027181 | Jason Patrick Ouellette | Dentist | 455 Magnolia Ave Ste B, Merritt Island, FL 32952-4838 | 2010-02-11 |
| 1679706733 | Sebron E Kay | Dentist | 307 Magnolia Ave, Merritt Island, FL 32952-4817 | 2009-08-24 |
| 1871611079 | Richard Baratta | Dentist | 150 N Banana River Dr, Merritt Island, FL 32952-2513 | 2007-03-26 |
| 1689772113 | Harold Roderic Kring | Dentist | 291 N Courtenay Pkwy, Merritt Island, FL 32953-3407 | 2006-09-20 |
| 1467563528 | Robert Norman Lowe | Dentist | 100 Fortenberry Rd, Merritt Island, FL 32952 | 2006-08-31 |
| Find all providers in MERRITT ISLAND | ||||
| City | MERRITT ISLAND |
| Zip Code | 32952 |
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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.