Organization · Type 2 NPI
Thomas C. Kelley DDS MSD LLC
Periodontics · Brookfield, WI
NPI number
1780998997
Active
Practice location
17280 W North Ave Ste 203
Brookfield, WI 53045-4366
Fax (262) 787-9076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 5257015 (WI) |
Periodontics: 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.
About NPI 1780998997
Thomas C. Kelley DDS MSD LLC's National Provider Identifier is 1780998997, issued on Jul 29, 2010. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Brookfield, WI. The record was last updated on Jul 29, 2010.