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

Dr. Keily Leslie Borgelin, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1437950169

Dr. Keily Leslie Borgelin, DDS is a Student in an Organized Health Care Education/Training Program in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2025.

Licensed in
WI
In the registry since
2025
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

9 Tri Park Way
Appleton, WI 54914-1661
Phone: (920) 882-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6001833-15 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1437950169
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 19, 2025
Last updated in NPPESJune 7, 2025
Certification dateJune 7, 2025

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