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ELITE SMILES DENTAL, LTD
NPI 1154781870
Dentist - General Practice in Appleton, WI

Active since February 24, 2016
315 W WISCONSIN AVE, APPLETON, WI 54911(920) 731-2211(920) 733-7176 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elite Smiles Dental, Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE SMILES DENTAL, LTD (NPI 1154781870) is a healthcare organization registered as a general practice in Appleton, Wisconsin and active in the NPI registry since February 2016. The organization lists Alissa Edwards, Dentist, as its authorized official.

NPPES Registry Identity

NPI1154781870
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameELITE SMILES DENTAL, LTD
Location Address315 W WISCONSIN AVEAppleton, WI 54911-4355
Mailing Address315 W Wisconsin AveAppleton, WI 54911-4355 · (920) 731-2211 · Fax (920) 733-7176
Phone(920) 731-2211
Fax(920) 733-7176
Organization SubpartNo
Authorized OfficialAlissa EdwardsDentist · (920) 731-2211
Enumeration DateFebruary 24, 2016
✔ NPI 1154781870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 6542-15
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
315 W WISCONSIN AVE, Appleton, WI 54911
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Other Identifiers 2

Other6542-15WI · License Number
Other1578874426WI · Npi Type 1

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANJA NICOLE AMUNDSON D.D.S.
Dentist
315 W WISCONSIN AVE
APPLETON, WI 54911
Outagamie County (920) 731-2211
DR. ROGER GARY STANEK D.D.S.
Dentist (General Practice)
315 W WISCONSIN AVE
APPLETON, WI 54911
Outagamie County (920) 731-2211
DR. DALE MELVIN SCHARINE D.D.S.
Dentist (General Practice)
315 W WISCONSIN AVE
APPLETON, WI 54911
Outagamie County (920) 733-4787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Smiles Dental, Ltd's NPI number?

The NPI number for Elite Smiles Dental, Ltd is 1154781870. It was assigned to this organization in the NPPES registry on February 24, 2016.

Where is Elite Smiles Dental, Ltd located?

Elite Smiles Dental, Ltd is located at 315 W Wisconsin Ave, Appleton, WI 54911. The listed phone number is (920) 731-2211.

What is Elite Smiles Dental, Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Elite Smiles Dental, Ltd was last updated on February 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.