Thomas C. Kelley Dds Msd Llc
Periodontist in Brookfield, WI(View on Map)
Legal Business Name
Thomas C. Kelley Dds Msd Llc
NPI Number
1780998997
NPI Type
Organization
Enumeration Date
07/29/2010
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
5257015
Contact
Information
Purpose
Mailing
Location
Address
17280 W NORTH AVE STE 203
17280 W NORTH AVE STE 203
City
Brookfield
Brookfield
State
WI
WI
Postal Code
53045-4366
53045-4366
Country
US
US
Telephone Number
(262) 787-9075
(262) 787-9075
Authorized Official
Name
Dr. Thomas Kelley
Title or Position
PERIODONTIST
Telephone Number
(262) 787-9075
Identifiers
Identifier
33778000
Identifier State
WI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/29/2010
Provider Address
Other Periodontists in Brookfield, Wisconsin:
Dcp Of Brookfield Square, Llc
May also be known as Dentalworks Of Brookfield
Brookfield, WISpecialties: General Practice Dentistry (Primary)DentistEndodontistOral and Maxillofacial Surgery (Dentist)Orthodontics and Dentofacial Orthopedic DentistPediatric DentistPeriodontistProsthodontist