Thomas C. Kelley Dds Msd Llc is a Periodontology Clinic in Brookfield, Wisconsin. It is located at 17280 W North Ave Ste 203, Brookfield, WI and its contact number is 262-787-9075. The authorized person for Thomas C. Kelley Dds Msd Llc is Dr. Thomas C Kelley
who is Periodontist of the clinic and their contact number is 262-787-9075. The primary license number for Thomas C. Kelley Dds Msd Llc is 5257015 (Periodontics) in Wisconsin. Thomas C. Kelley Dds Msd Llc Clinic is specialized in that branch 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.
Complete Clinic Profile:
Thomas C. Kelley Dds Msd Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Thomas C. Kelley Dds Msd Llc
Specialization:
Periodontology
Clinic Address:
17280 W North Ave Ste 203, Brookfield, Wisconsin, 53045-4366
Phone:
262-787-9075
Fax:
262-787-9076
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Thomas C Kelley
Position:
Periodontist
Contact Number:
262-787-9075
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Thomas C. Kelley Dds Msd Llc clinic are as mentioned below.
NPI Number:
1780998997
NPI Enumeration Date:
29 Jul, 2010
NPI Last Update On:
29 Jul, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thomas C. Kelley Dds Msd Llc are as mentioned below.
Specialization
License Number
State
Status
Periodontics
5257015
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
33778000
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Thomas C. Kelley Dds Msd Llc 17280 W North Ave Ste 203, Brookfield, Wisconsin
Zip:
53045-4366
Phone Number:
262-787-9075
Fax Number:
262-787-9076
Patients can reach Thomas C. Kelley Dds Msd Llc at 17280 W North Ave Ste 203, Brookfield, Wisconsin or can call to book an appointment on 262-787-9075. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.