DELAFIELD FAMILY DENTAL, INC (NPI# 1831614627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831614627 |
Entity Type | Organization |
Organization Name | DELAFIELD FAMILY DENTAL, INC |
Other Organization Name | MICHELLE KELLY DDS |
Practice Address |
11 Crossroads Ct Delafield WI 53018-2035 |
Practice Telephone | (262) 646-4188 |
Practice Fax Number | 2626464181 |
Mailing Telephone | 2626464188 |
Mailing Fax Number | 2626464181 |
Enumeration Date | 2017-08-14 |
Last Update Date | 2017-08-14 |
Authorized Official Name | DR. MICHELLE J KELLY (OWNER/PRESIDENT) |
Authorized Official Telephone | 2626464188 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Michelle Kelly DDS | Other Name - Individual/Organization |
Street Address |
11 CROSSROADS CT |
City | DELAFIELD |
State | WI |
Zip Code | 53018-2035 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245215920 | Michelle J Kelly | Dentist | 11 Crossroads Ct, Delafield, WI 53018-2035 | 2005-12-14 |
1316325970 | Bubon & Associates, Orthodontics, Sc | Dentist | 11 Crossroads Ct, Delafield, WI 53018-2035 | 2015-05-14 |
1295897056 | David M Schlaack | Dentist | 11 Crossroads Ct, Delafield, WI 53018-2035 | 2006-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063936870 | Balance Within, LLC | Clinic/Center | W314 N720 State Hwy 83, Delafield, WI 53018 | 2017-08-02 |
1548717861 | Anne Johnson, LLC | Community/Behavioral Health | W314 N720 Hwy 83, Delafield, WI 53018 | 2016-09-02 |
1912374190 | Gals Institute, LLC | Clinic/Center | 383 Williamstowne, Suite 101, Delafield, WI 53018 | 2015-08-24 |
1922442722 | Brittany Joelle Meyer | Family Medicine | 2301 Sun Valley Dr Ste 300, Delafield, WI 53018 | 2013-04-23 |
1417072497 | Sarah R R Couillard | Licensed Practical Nurse | 901 West Shore Dr, Delafield, WI 53018 | 2007-03-20 |
1942332440 | Yolanda Stephenson Wolff | Pediatrics | 3195 Hillside Dr, Delafield, WI 53018 | 2007-03-10 |
1568532521 | Maida Ann Parkins | Plastic Surgery | W307 N1497 Golf Rd, Suite 200, Delafield, WI 53018 | 2006-11-08 |
1871679126 | David Wolf | Chiropractor | 20 Crossroads Ct., Ste. B, Delafield, WI 53018 | 2006-10-30 |
1548237985 | Medical Scanning Consultants Pa | Radiology | 2574 Sun Valley Dr, Ste 100, Delafield, WI 53018 | 2006-03-03 |
1902873334 | Cdi Delafield LLC | Radiology | 2574 Sun Valley Drive, Suite 100, Delafield, WI 53018 | 2006-03-03 |
Find all providers in zip 53018 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063907 | Osceola Family Dental, Ltd | Clinic/Center | 215 N Cascade St, Osceola, WI 54020 | 2020-11-03 |
1578173985 | Bright Dental and Braces LLC | Clinic/Center | 3046 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2020-08-01 |
1609493188 | Willow Dental Group LLC | Clinic/Center | 3333 S Sunnyslope Rd Ste 100, New Berlin, WI 53151-4504 | 2020-06-30 |
1447875711 | Iola Family Dental, LLC | Clinic/Center | 100 Pine Crest Ln, Iola, WI 54945-8230 | 2020-06-12 |
1073135331 | Oasis Dental LLC | Clinic/Center | 1037 S Cesar E Chavez Dr, Milwaukee, WI 53204-2204 | 2020-05-09 |
1679116685 | Mdc Milwaukee, LLC | Clinic/Center | 4701 W National Ave, Milwaukee, WI 53214-3521 | 2019-10-22 |
1982263893 | Schmidt Dental Holdings LLC | Clinic/Center | 7430 W Forest Home Ave, Greenfield, WI 53220-3358 | 2019-06-13 |
1124580352 | Upper Lakes Dental, LLC | Clinic/Center | 908 E Main St Ste C, Winneconne, WI 54986-9672 | 2019-04-05 |
1356808067 | Julia Fosterarmstrong | Clinic/Center | 335 Vernal Ave, Milton, WI 53563-1248 | 2019-02-28 |
1366907032 | Dr John M Kane Sc | Clinic/Center | 10317 N Greenwood Ln, Hayward, WI 54843-7167 | 2019-02-06 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.