Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Mitchell Patrick Kellerman , DDS

Dentist β€’ Parris Island, SC

Active NPI 1740110824 Individual Practitioner Male Practitioner
Practice location in NPPES

674 Blvd De France, Mcrd Parris Island Dental Clinic
Parris Island, SC 29905

Call 8432283500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

674 Blvd De France
Mcrd Parris Island Dental Clinic

Parris Island, SC 29905

Telephone 8432283500

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Parris Island and South Carolina

29 active clinicians are listed under Dentist with a practice address in Parris Island, SC (1,125 in South Carolina).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Parris Island

0% of these 29 clinicians have the CMS telehealth indicator.

0% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-09-03
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES MI 2901602944

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: South Carolina Board of Medical Examiners.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
NPI 1619139508

Doctor of Dental Surgery

NPI 1013148527

Doctor of Dental Medicine

NPI 1659724433

Doctor of Dental Medicine

Dr. Jason Mathys , DDS, MS

Dentist - General Practice

NPI 1992903058

Doctor of Dental Surgery, Master of Science

NPI 1093060410

Doctor of Dental Medicine

NPI 1972070829

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 04, 2026

Registered at 674 BLVD DE FRANCE, MCRD PARRIS ISLAND DENTAL CLINIC, PARRIS ISLAND, SC 29905 (Tel: 8432283500)

πŸ“
Updated Business Mailing Address September 04, 2026

Registered at 674 BLVD DE FRANCE, MCRD PARRIS ISLAND DENTAL CLINIC, PARRIS ISLAND, SC 29905 (Tel: 8432283500)

βœ…
NPI Profile Active May 21, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 21, 2026

Registered at 1 PINCKNEY BLVD, BEAUFORT, SC 299026122 (Tel: 8432285600)

πŸ“
Business Mailing Address (Initial Record) May 21, 2026

Registered at 2391 COPPER CREEK DR, BAY CITY, MI 487069072 (Tel: 9894152406)

πŸ‘€
Provider Name / Credentials (Initial Record) May 21, 2026

Recorded as MITCHELL KELLERMAN, D.D.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2026

Dentist (license number reported to NPPES: MI 2901602944)

🟒
Initial NPI Registration & Enumeration May 21, 2026

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1740110824
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2026
Last Update: September 04, 2026
Sole Proprietor: Yes

Other Dentists in Parris Island

Mailing Address

674 Blvd De France, Mcrd Parris Island Dental Clinic

Parris Island, SC 29905

Phone: 8432283500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.