Kelley, Madeline

Kelley, Madeline is an sole proprietor health care provider with primary practice located at 1245 Se 3Rd St , Bend OR 97702-2161. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Kelley, Madeline can be contacted via phone (541) 318-5688.

Contact Information

Primary practice address
1245 Se 3Rd St Bend OR 97702-2161
Phone: (541) 318-5688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D11401 Oregon

Profile Details

NPI number 1861988685
LBN Legal business name Kelley, Madeline
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2018
Last updated Jun 4th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers