DR. KELLEY MARIE DENTINO D.M.D.
NPI 1609276120
Dentist - Orthodontics and Dentofacial Orthopedics in Menomonee Falls, WI
About Dr. Kelley Marie Dentino D.m.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLEY MARIE DENTINO D.M.D. (NPI 1609276120) is an individual orthodontics and dentofacial orthopedics provider in Menomonee Falls, Wisconsin, licensed in Wisconsin (1001985-15) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kelley Marie Dentino D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelley Dentino's NPI number?
The NPI number for Kelley Dentino is 1609276120. It was assigned to this individual provider in the NPPES registry on September 3, 2014.
Where is Kelley Dentino located?
Kelley Dentino practices at W178n9201 Water Tower Pl, Menomonee Falls, WI 53051. The listed phone number is (262) 251-8704.
What is Kelley Dentino's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.
Is Kelley Dentino enrolled in Medicare?
Yes. Kelley Dentino is registered in the Medicare PECOS enrollment system.
What insurance does Kelley Dentino accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Humana list Kelley Dentino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelley Dentino was last updated on June 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.