| Dr Kelley Marie Dentino, DMD | |
|
W178n9201 Water Tower Pl, Menomonee Falls, WI 53051-8044 | |
| (262) 251-8704 | |
| Not Available |
| Full Name | Dr Kelley Marie Dentino |
|---|---|
| Gender | Female |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | W178n9201 Water Tower Pl, Menomonee Falls, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609276120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN1856732 (Massachusetts) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 1001985-15 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelley Marie Dentino, DMD W178n9201 Water Tower Pl Ste 100, Menomonee Falls, WI 53051-8045 Ph: (262) 251-8704 | Dr Kelley Marie Dentino, DMD W178n9201 Water Tower Pl, Menomonee Falls, WI 53051-8044 Ph: (262) 251-8704 |
Mr. Stephen William Thomas, DDS Dentist Medicare: Medicare Enrolled Practice Location: N84 W15865 Appleton Ave, Menomonee Falls, WI 53051 Phone: 262-251-6980 Fax: 262-251-6982 | |
Dr. Raluca Stuleanu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: N81w15062 Appleton Ave, Menomonee Falls, WI 53051 Phone: 262-522-7645 Fax: 262-522-2828 | |
Dr. Mark C Thomson, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: N88w17001 Main St, Menomonee Falls, WI 53051 Phone: 262-251-6070 Fax: 262-250-9000 | |
Dr. Stephen Froehlich, Dentist Medicare: Medicare Enrolled Practice Location: N80w17707 Custer Ln, Menomonee Falls, WI 53051 Phone: 262-255-2727 Fax: 262-255-3903 | |
Matthew Thomas Pruhs, Dentist Medicare: Not Enrolled in Medicare Practice Location: W178n9201 Watertower Place, Suite 100, Menomonee Falls, WI 53051 Phone: 262-251-8704 Fax: 262-251-8341 | |
Malea Marie Rogness, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: N84w15959 Appleton Ave, Menomonee Falls, WI 53051 Phone: 262-251-6555 | |
Dr. Kathleen Herrscher, Dentist Medicare: Medicare Enrolled Practice Location: N80w17707 Custer Ln, Menomonee Falls, WI 53051 Phone: 262-255-2727 Fax: 262-255-3903 |