KAELY KANTARIS NPI 1104225994

NPI Information

  • NPI: 1104225994
  • Provider Name: KAELY KANTARIS
  • Classification: Dentist - 122300000X
  • Entity Type: Individual
  • Address: 4435 EASTGATE MALL #125
    SAN DIEGO, CA
    ZIP 92121
  • Phone: (858) 546-7667

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NPI Details

Kaely Kantaris is a dentist in San Diego, CA. The provider is 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. Kaely Kantaris NPI is 1104225994. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4435 EASTGATE MALL #125
SAN DIEGO, CA
ZIP 92121-191
Phone: (858) 546-7667

The enumeration date for this NPI number is 8/18/2014 and was last updated on 5/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist1000988-15WISCONSINNo
2122300000XDentistDN27647FLORIDANo
3122300000XDentistDDS108191CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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