Dr. Kelly A McNally, D.D.S.
Dentist, General Practice in Ridgewood, NJ. Individual provider (NPI-1).
NPI number1245360403
StatusActive
Last updated in NPPESOct 28, 2026
Details
- NPI
- 1245360403
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kelly A McNally
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2007
- Certification date
- Oct 28, 2026
- Last updated
- Oct 28, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 18078 | NJ | Yes |
Practice location
172 Franklin Ave Ste 1aRidgewood, NJ 07450-3228
Phone 201-444-4050
Mailing address
172 Franklin AveRidgewood, NJ 07450-3250
Phone 201-444-4050
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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