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Dr. Matthew Ryan Kelsey, D.D.S., M.S.

Dentist, Periodontics in Omaha, NE. Individual provider (NPI-1).

NPI number1326200072
StatusActive
Last updated in NPPESMar 27, 2014

Details

NPI
1326200072
Entity type
Individual (NPI-1)
Name
Dr. Matthew Ryan Kelsey
Credential
D.D.S., M.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 25, 2008
Last updated
Mar 27, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics6751NEYes

Practice location

17785 Mason St
#103
Omaha, NE 68118-3526

Phone 402-934-4745 · Fax 402-934-4760

Mailing address

17785 Mason St
#103
Omaha, NE 68118-3526

Phone 402-934-4745 · Fax 402-934-4760

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