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LAKESIDE ENDODONTICS
NPI 1417284480
Dentist - Endodontics in Grafton, WI

Active since November 11, 2009
1245 CHEYENNE AVE, SUITE 104, GRAFTON, WI 53024(262) 377-2889(262) 377-2680 Get Directions Write a Review

NPPES record last updated: November 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeside Endodontics NPPES

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

LAKESIDE ENDODONTICS (NPI 1417284480) is a healthcare organization registered as an endodontics in Grafton, Wisconsin and active in the NPI registry since November 2009. The organization lists Kelly Nicole West, Owner, as its authorized official.

NPPES Registry Identity

NPI1417284480
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameWEST ENDODONTIC GROUP
Location Address1245 CHEYENNE AVE, SUITE 104Grafton, WI 53024-9323
Mailing Address1245 Cheyenne Ave, Suite 104Grafton, WI 53024-9323 · (262) 377-2889 · Fax (262) 377-2680
Phone(262) 377-2889
Fax(262) 377-2680
Organization SubpartNo
Authorized OfficialKelly Nicole WestOwner · (262) 377-2668
Enumeration DateNovember 11, 2009
✔ NPI 1417284480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in WI · 6129-15
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.
1245 CHEYENNE AVE, Grafton, WI 53024
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Other Names 1

Doing Business AsLakeside Endodontics

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

Other Providers at the Same Location NPPES 5

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

ACCESS COMMUNITY THERAPIES LLC
Counselor (Professional)
1245 CHEYENNE AVE, SUITE 200
GRAFTON, WI 53024
Ozaukee County (262) 233-1818
MARIA J. HILLMER APNP
Nurse Practitioner
1245 CHEYENNE AVE, SUITE 301
GRAFTON, WI 53024
Ozaukee County (262) 377-2222
MEGAN E DITTRICH LCSW
Social Worker (Clinical)
1245 CHEYENNE AVE
GRAFTON, WI 53024
Ozaukee County (203) 331-2297
FOREFRONT DERMATOLOGY, S.C.
Dermatology
1245 CHEYENNE AVE, SUITE 301
GRAFTON, WI 53024
Ozaukee County (262) 377-2222
DR. KELLY NICOLE WEST DDS
Dentist (Endodontics)
1245 CHEYENNE AVE, SUITE 104
GRAFTON, WI 53024
Ozaukee County (262) 377-2668

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 West Endodontic Group's NPI number?

The NPI number for West Endodontic Group is 1417284480. It was assigned to this organization in the NPPES registry on November 11, 2009. The provider is doing business as Lakeside Endodontics.

Where is West Endodontic Group located?

West Endodontic Group is located at 1245 Cheyenne Ave Suite 104, Grafton, WI 53024. The listed phone number is (262) 377-2889.

What is West Endodontic Group'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 West Endodontic Group was last updated on November 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.