institution
Thomas C. Kelley Dds Msd Llc
Periodontist in Brookfield, Wisconsin
NPI 1780998997

Thomas C. Kelley Dds Msd Llc is a Periodontist based in Brookfield, WI and is specialized in Periodontics. Thomas C. Kelley Dds Msd Llc practices in Brookfield, WI. The NPI Number for Thomas C. Kelley Dds Msd Llc is 1780998997 and holds a License No. 5257015 (Wisconsin).

The current practice location address for Thomas C. Kelley Dds Msd Llc is 17280 W North Ave Ste 203, Brookfield, WI and can be reached out via phone at 262-787-9075 and via fax at 262-787-9076. You can also correspond with Thomas C. Kelley Dds Msd Llc through the mailing address at 17280 W NORTH AVE STE 203, BROOKFIELD, WI - 53045-4366 (mailing address contact number: 262-787-9075).

Location: 17280 W North Ave Ste 203, Brookfield, WI, 53045-4366
institution
Provider Profile Details
NPI Number
1780998997
Provider Name
Thomas C. Kelley Dds Msd Llc
Credential
Provider Entity Type
Organization
Address
17280 W North Ave Ste 203, Brookfield, WI, 53045-4366
Phone Number
262-787-9075
Fax Number
262-787-9076
Provider Enumeration Date
07/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33778000 05 WI
institution
Provider Business Practice Location Address Details
Address
17280 W North Ave Ste 203
City
State
Zip
53045-4366
Phone Number
262-787-9075
Fax Number
262-787-9076
person
Provider Business Mailing Address Details
Address
17280 W North Ave Ste 203
City
State
Zip
53045-4366
Phone Number
262-787-9075
Fax Number
262-787-9076
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
5257015 (Wisconsin)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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