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THOMAS C. KELLEY DDS MSD LLC
NPI 1780998997
Dentist - Periodontics in Brookfield, WI

Active since July 29, 2010
17280 W NORTH AVE STE 203, BROOKFIELD, WI 53045(262) 787-9075(262) 787-9076 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas C. Kelley Dds Msd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS C. KELLEY DDS MSD LLC (NPI 1780998997) is a healthcare organization registered as a periodontics in Brookfield, Wisconsin and active in the NPI registry since July 2010. The organization lists Thomas C Kelley, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1780998997
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameTHOMAS C. KELLEY DDS MSD LLC
Location Address17280 W NORTH AVE STE 203Brookfield, WI 53045-4366
Mailing Address17280 W North Ave Ste 203Brookfield, WI 53045-4366 · (262) 787-9075 · Fax (262) 787-9076
Phone(262) 787-9075
Fax(262) 787-9076
Organization SubpartNo
Authorized OfficialThomas C KelleyPeriodontist · (262) 787-9075
Enumeration DateJuly 29, 2010
✔ NPI 1780998997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in WI · 5257015
Definition
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.
17280 W NORTH AVE STE 203, Brookfield, WI 53045
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Other Identifiers 1

Medicaid33778000WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Thomas C. Kelley Dds Msd LLC's NPI number?

The NPI number for Thomas C. Kelley Dds Msd LLC is 1780998997. It was assigned to this organization in the NPPES registry on July 29, 2010.

Where is Thomas C. Kelley Dds Msd LLC located?

Thomas C. Kelley Dds Msd LLC is located at 17280 W North Ave Ste 203, Brookfield, WI 53045. The listed phone number is (262) 787-9075.

What is Thomas C. Kelley Dds Msd LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Thomas C. Kelley Dds Msd LLC accept?

Health plans from UnitedHealthcare list Thomas C. Kelley Dds Msd LLC 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 Thomas C. Kelley Dds Msd LLC was last updated on July 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.