Individual
DR. KELLY RUTH MAGLIOCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2500 OVERLOOK TERRACE, MADISON, WI 53705-2286
(608) 280-7000
Mailing address
2500 OVERLOOK TER, MADISON, WI 53705-2254
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901017624
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5689-15
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN015812
GA
207ZC0006X
Clinical Pathology Physician
Primary
DN015812
GA
Other
Enumeration date
09/06/2006
Last updated
05/05/2026
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