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Contact Information

KELLY R MAGLIOCCA, DDS
2500 OVERLOOK TERRACE
MADISON, WI53705-2286
 Phone: 608-280-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology

207ZC0006X 22 Physician/Pathology
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for KELLY R MAGLIOCCA · (Female)

NPI # 1225131162
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/06/2006
Last updated 05/05/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • GA License # DN015812
  • MI License # 2901017624
  • WI License # 5689-15
Hospital affiliation(s)
  • EMORY UNIVERSITY HOSPITAL - (Acute Care)
    1364 CLIFTON ROAD, NE
    ATLANTA, GA 30322
  • EMORY UNIVERSITY HOSPITAL MIDTOWN - (Acute Care)
    550 PEACHTREE ST NE
    ATLANTA, GA 30308
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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