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ELITE ENDODONTICS
NPI 1336654102
Dentist - Endodontics in Lake Orion, MI

Active since December 02, 2017
1135 S LAPEER RD STE A, LAKE ORION, MI 48360(616) 502-2846 Get Directions Write a Review

NPPES record last updated: December 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elite Endodontics NPPES

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

ELITE ENDODONTICS (NPI 1336654102) is a healthcare organization registered as an endodontics in Lake Orion, Michigan and active in the NPI registry since December 2017. The organization lists Drew Wayne Moeller, Endodontist, as its authorized official.

NPPES Registry Identity

NPI1336654102
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameELITE ENDODONTICS
Location Address1135 S LAPEER RD STE ALake Orion, MI 48360-1432
Mailing Address6965 Oakhurst Ridge RdClarkston, MI 48348-5053
Phone(616) 502-2846
Organization SubpartNo
Authorized OfficialDrew Wayne MoellerEndodontist · (616) 502-2846
Enumeration DateDecember 2, 2017
✔ NPI 1336654102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MI · 2901020373
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1135 S LAPEER RD STE A, Lake Orion, MI 48360
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Endodontics's NPI number?

The NPI number for Elite Endodontics is 1336654102. It was assigned to this organization in the NPPES registry on December 2, 2017.

Where is Elite Endodontics located?

Elite Endodontics is located at 1135 S Lapeer Rd Ste A, Lake Orion, MI 48360. The listed phone number is (616) 502-2846.

What is Elite Endodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Elite Endodontics was last updated on December 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.