Delafield Family Dental, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DELAFIELD FAMILY DENTAL, INC

Practice address

11 Crossroads CT
Delafield, WI 53018-2035

Phone

(262) 646-4188

Fax

(262) 646-4181

NPI assigned

Aug 14, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michelle J Kelly, DDSNPI 1245215920

Title

Owner/President

Phone

(262) 646-4188

Specialties & licenses 1

Addresses

Other names 1

• Michelle Kelly DDS Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle J Kelly, D.D.S.

  • General Practice Dentistry
  • Delafield, WI
  • NPI 1245215920
  NPD (past) Authorized official
• David M Schlaack, DDS

  • Dentist
  • Delafield, WI
  • NPI 1295897056
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831614627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CROSSROADS CT",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182035",
            "telephone_number": "262-646-4188",
            "fax_number": "262-646-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CROSSROADS CT",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182035",
            "telephone_number": "262-646-4188",
            "fax_number": "262-646-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAFIELD FAMILY DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "262-646-4188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle Kelly DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeffrey Royal Deemer-White
• Delafield Chiropractic LLC
• Delafield Dental LLC (Delafield Dental)
• Delafield Dental Specialists LLC
• Delafield Family Chiropractic LTD
• Delafield Medical Center LLC
• Delafield Vision Center LTD
• Rania Louise Dempsey, M.D.
• Melissa Roth Doornek, BCBA
• Dr Samy Acupuncture

• Dental Clinic/Center in Delafield, WI
• Providers in Delafield, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.