THOMAS C. KELLEY DDS MSD LLC NPI 1780998997

NPI Information

THOMAS C. KELLEY DDS MSD LLC is a periodontics dentist in Brookfield, WI. The provider is 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. THOMAS C. KELLEY DDS MSD LLC NPI is 1780998997. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17280 W NORTH AVE STE 203
BROOKFIELD, WI
ZIP 53045-366
Phone: (262) 787-9075
Fax: (262) 787-9076

The provider's authorized official is Thomas C Kelley .
The authorized official title is Periodontist and has the following contact phone number (262) 787-9075.

The enumeration date for this NPI number is 7/29/2010 and was last updated on 7/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.