Kaely Kantaris, - Dentist in San Diego, CA

Kaely Kantaris, is a Dentist based in San Diego, California. Kaely Kantaris is licensed to practice in California (license number DDS108191) and her current practice location is 4435 Eastgate Mall #125, San Diego, California. She can be reached at her office (for appointments etc.) via phone at (858) 546-7667.

NPI number for Kaely Kantaris is 1104225994 and her current mailing address is 4565 48th Street, San Diego, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104225994.

Contact Information

Kaely Kantaris,
4435 Eastgate Mall #125,
San Diego, CA 92121-5191
(858) 546-7667
Not Available



Healthcare Provider's Profile

Full NameKaely Kantaris
GenderFemale
SpecialityDentist
Location4435 Eastgate Mall #125, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104225994
  • Provider Enumeration Date: 08/18/2014
  • Last Update Date: 05/07/2023

Medical Identifiers

Medical identifiers for Kaely Kantaris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104225994NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 1000988-15 (Wisconsin)Secondary
122300000XDentist DN27647 (Florida)Secondary
122300000XDentist DDS108191 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaely Kantaris is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kaely Kantaris,
4565 48th Street,
San Diego, CA 92115

Ph: () -
Kaely Kantaris,
4435 Eastgate Mall #125,
San Diego, CA 92121-5191

Ph: (858) 546-7667

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› Verified 3 days ago


Dentist in San Diego, CA

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