Individual provider · Type 1 NPI

Kelley Marie Dentino, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Menomonee Falls, WI

NPI number 1609276120 Active

Practice location

W178N9201 Water Tower Pl
Menomonee Falls, WI 53051-8044

Mailing address

W178N9201 Water Tower Pl Ste 100
Menomonee Falls, WI 53051-8045

Other practice locations

  • 300 Longwood Ave, Department Of Plastic & Oral Surgery, Boston, MA 02115-5724 · (414) 861-0912

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDN1856732 (MA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X1001985-15 (WI)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1609276120

Kelley Marie Dentino, DMD's National Provider Identifier is 1609276120, issued on Sep 3, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Menomonee Falls, WI. The record was last updated on Jun 8, 2025.