Thomas Christophe Kelley in Brookfield - Periodontics
Thomas Christophe Kelley - NPI 1770572828
Thomas Christophe Kelley is a Periodontics in Brookfield, Wisconsin. Thomas Christophe Kelley practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Thomas Christophe Kelley is 1770572828. The last update date is 2007-07-08.
Thomas Christophe Kelley's current location address is 150 S Calhoun Rd, Brookfield, Wisconsin. You can contact this provider via phone number 2627879075 and fax number 2627879076. The mailing address for Thomas Christophe Kelley is 150 S Calhoun Rd, Brookfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Christophe Kelley |
|---|---|
| Address | 150 S Calhoun Rd, Brookfield, Wisconsin |
| Phone Number | 2627879075 |
| Fax Number | 2627879076 |
| Sole Proprietor | X |
| Credentials | DDS, MSD |
NPI Number Detail
| NPI Number | 1770572828 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 150 S Calhoun Rd |
|---|---|
| City | Brookfield |
| State | Wisconsin (WI) |
| Post Code | 530056303 |
| Phone Number | 2627879075 |
| Fax Number | 2627879076 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 5257015 |
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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 structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33778000 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Thomas Christophe Kelley by the Centers for Medicare & Medicaid Services?
The Thomas Christophe Kelley has been issued the NPI (National Provider Identifier) 1770572828 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Thomas Christophe Kelley located?
The Thomas Christophe Kelley is located at 150 S Calhoun Rd, Brookfield, WI 530056303.
What is the area of specialization for Thomas Christophe Kelley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Thomas Christophe Kelley is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date was the 1770572828 assigned to Thomas Christophe Kelley?
The Thomas Christophe Kelley was issued its 1770572828 on 2005-10-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Thomas Christophe Kelley's details last updated?
The information pertaining to the Thomas Christophe Kelley, including its address, specialty, and other details, was most recently updated on 2007-07-08.