Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245215920 Individual Practitioner Female Practitioner

Dr. Michelle J Kelly , DDS

Dentist - General Practice • Delafield, WI

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Kelly, DDS is a registered healthcare professional specializing in Dentist - General Practice in Delafield, WI. Practice services are available at 11 CROSSROADS CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11 Crossroads Ct

Delafield, WI 530182035

Telephone 2626464188
Fax 2626464181
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Delafield, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Delafield, WI (2459 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 5721-015

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1295897056

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
NPI Profile Active August 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2017

Registered at 11 CROSSROADS CT, DELAFIELD, WI 530182035 (Tel: 2626464188)

📍
Updated Business Mailing Address August 14, 2017

Registered at 36032 RAVINIA PARK BLVD, OCONOMOWOC, WI 530666714 (Tel: (414) 975-7190)

👤
Provider Name / Credentials Updated August 14, 2017

Recorded as MICHELLE KELLY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2017

Dentist (License #5721-015 in WI)

📍
Updated Practice Location May 23, 2017

Registered at 11 CROSSROADS CT, DELAFIELD, WI 530182035 (Tel: 2626464188)

📍
Updated Business Mailing Address May 23, 2017

Registered at 36032 RAVINIA PARK BLVD, OCONOMOWOC, WI 530666714 (Tel: 4149757190)

👤
Provider Name / Credentials Updated May 23, 2017

Recorded as MICHELLE KELLY, D.D.S.

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1547 E RACINE AVE, WAUKESHA, WI 531866826 (Tel: 2625424466)

📍
Updated Business Mailing Address July 08, 2007

Registered at W351N5772 WESTSHORE RD, OCONOMOWOC, WI 530666714 (Tel: 2625679336)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHELLE WADE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5721-015 in WI)

🟢
Initial NPI Registration & Enumeration December 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245215920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2005
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

36032 Ravinia Park Blvd

Oconomowoc, WI 530666714

Phone: 4149757190

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.