Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelsey Periodontal Group, LLC

Organization Dental Clinic/Center · NPI 1831423177

Kelsey Periodontal Group, LLC is a Dental Clinic/Center in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2009.

Licensed in
NE
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17785 Mason St Ste 103
Omaha, NE 68118-3526
Phone: (402) 934-4745
Fax: (402) 934-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 6632 (NE)

Record details

NPI number1831423177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Kelsey — Owner · (402) 934-4745
NPI enumeratedSeptember 18, 2009
Last updated in NPPESSeptember 18, 2009
Mailing address17785 Mason St, Suite 103, Omaha, NE 68118-3526

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