Provider Demographics
NPI:1215785720
Name:KELLY, AINA KATO (DDS)
Entity type:Individual
Prefix:DR
First Name:AINA
Middle Name:KATO
Last Name:KELLY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:AINA
Other - Middle Name:EMILY
Other - Last Name:WEINSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5214 VININGS BLVD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7149
Mailing Address - Country:US
Mailing Address - Phone:614-598-7699
Mailing Address - Fax:
Practice Address - Street 1:6850 PERIMETER DR STE C
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8051
Practice Address - Country:US
Practice Address - Phone:614-761-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0275101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice