Matthew Ryan Kelsey in Omaha - Periodontics

Matthew Ryan Kelsey - NPI 1326200072

Matthew Ryan Kelsey is a Periodontics in Omaha, Nebraska. Matthew Ryan Kelsey practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Matthew Ryan Kelsey is 1326200072. The last update date is 2014-03-27.

Matthew Ryan Kelsey's current location address is 17785 Mason St, Omaha, Nebraska. You can contact this provider via phone number 4029344745 and fax number 4029344760. The mailing address for Matthew Ryan Kelsey is 17785 Mason St, Omaha, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew Ryan Kelsey
Address 17785 Mason St, Omaha, Nebraska
Phone Number 4029344745
Fax Number 4029344760
Sole Proprietor Y
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1326200072
Provider Enumeration Date 2008-06-25
Last Updated Date 2014-03-27

Provider Mailing Address Detail

Address 17785 Mason St
City Omaha
State Nebraska (NE)
Post Code 681183526
Phone Number 4029344745
Fax Number 4029344760

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 6751
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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FAQs about Matthew Ryan Kelsey

What is the unique 10-digit identification code assigned to Matthew Ryan Kelsey by the Centers for Medicare & Medicaid Services?

The Matthew Ryan Kelsey has been issued the NPI (National Provider Identifier) 1326200072, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Matthew Ryan Kelsey's facilities are situated?

The facilities of Matthew Ryan Kelsey are physically located at the following address: 17785 Mason St, Omaha, NE, 681183526.

What is the Matthew Ryan Kelsey's area of specialization and corresponding taxonomy classification?

The Matthew Ryan Kelsey's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.

On what date was the 1326200072 assigned to Matthew Ryan Kelsey?

The Matthew Ryan Kelsey was issued its 1326200072 on 2008-06-25, 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 details related to Matthew Ryan Kelsey most recently updated or revised?

The information pertaining to Matthew Ryan Kelsey, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-27.

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