OrganizationActive
Kelsey Periodontal Group, LLC
NPI 1831423177 · Dental Clinic/Center · Omaha, NE
Provider details
- NPI number
- 1831423177
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Kelsey, Owner(402) 934-4745
- License
- 6632 (NE)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
17785 Mason St
Suite 103
Omaha, NE 68118-3526
Phone: (402) 934-4745
Fax: (402) 934-4760
Approximate (ZIP-level) locationGet directions
Mailing address
17785 Mason St
Omaha, NE 68118-3526
Registry dates
- Enumerated
- 2009-09-18
- Last updated
- 2009-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.