KELSEY PERIODONTAL GROUP, LLC
NPI 1831423177
Clinic/Center - Dental in Omaha, NE

Active since September 18, 2009
17785 MASON ST, SUITE 103, OMAHA, NE 68118(402) 934-4745(402) 934-4760 Get Directions Write a Review

NPPES record last updated: September 18, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelsey Periodontal Group, Llc NPPES

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

KELSEY PERIODONTAL GROUP, LLC (NPI 1831423177) is a healthcare organization registered as a dental in Omaha, Nebraska and active in the NPI registry since September 2009. The organization lists William Patrick Kelsey, Owner, as its authorized official.

NPPES Registry Identity

NPI1831423177
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKELSEY PERIODONTAL GROUP, LLC
Location Address17785 MASON ST, SUITE 103Omaha, NE 68118-3526
Mailing Address17785 Mason St, Suite 103Omaha, NE 68118-3526 · (402) 934-4745 · Fax (402) 934-4760
Fax(402) 934-4760
Organization SubpartNo
Authorized OfficialWilliam Patrick KelseyOwner · (402) 934-4745
Enumeration DateSeptember 18, 2009
NPI 1831423177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in NE · 6632
17785 MASON ST, Omaha, NE 68118

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
17785 MASON ST, SUITE 101
OMAHA, NE 68118
Dentist (Periodontics)
17785 MASON ST, #103
OMAHA, NE 68118
Dentist (Periodontics)
17785 MASON ST, SUITE 103
OMAHA, NE 68118

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 Kelsey Periodontal Group, LLC's NPI number?

The NPI number for Kelsey Periodontal Group, LLC is 1831423177. It was assigned to this organization in the NPPES registry on September 18, 2009.

Where is Kelsey Periodontal Group, LLC located?

Kelsey Periodontal Group, LLC is located at 17785 Mason St Suite 103, Omaha, NE 68118. The listed phone number is (402) 934-4745.

What is Kelsey Periodontal Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Kelsey Periodontal Group, LLC was last updated on September 18, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.