Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAKESHORE FAMILY DENTAL CENTER GREENDALE LLC
NPI 1932982113
Dentist in Greendale, WI

Q: What is Lakeshore Family Dental Center Greendale LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since August 14, 2023

5808 BROAD ST, GREENDALE, WI 53129(414) 421-2303 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2026, Aug 22, 2023, Aug 14, 2023 (3 updates tracked since 2023).

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About Lakeshore Family Dental Center Greendale Llc NPPES

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

LAKESHORE FAMILY DENTAL CENTER GREENDALE LLC (NPI 1932982113) is a healthcare organization registered as a dentist in Greendale, Wisconsin and active in the NPI registry since August 2023. The organization lists Victoria Johnson, Cro, as its authorized official.

NPPES Registry Identity

NPI1932982113

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameLAKESHORE FAMILY DENTAL CENTER GREENDALE LLC

Location Address5808 BROAD STGreendale, WI 53129-2404

Mailing Address5808 Broad StGreendale, WI 53129-2404 · (414) 421-2303

Phone(414) 421-2303

Organization SubpartNo

Authorized OfficialVictoria JohnsonCro · (941) 444-0558

Enumeration DateAugust 14, 2023

Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1932982113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5808 BROAD ST, Greendale, WI 53129

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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 4

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

DR. DIMITRI CHIRONIS DDS

Dentist (General Practice)

5808 BROAD ST
GREENDALE, WI 53129

Milwaukee County (414) 251-1531

DR. ROBERT PAUL SCHWADE D.D.S.

Dentist

5808 BROAD ST
GREENDALE, WI 53129

Milwaukee County (414) 421-2303

GREENDALE DENTAL ASSOCIATES, S.C.

Dentist

5808 BROAD ST
GREENDALE, WI 53129

Milwaukee County (414) 421-2303

DR. ROBERT WILLIAM ANDERSON D.D.S.

Dentist

5808 BROAD ST
GREENDALE, WI 53129

Milwaukee County (414) 421-2303

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 Lakeshore Family Dental Center Greendale LLC's NPI number?

The NPI number for Lakeshore Family Dental Center Greendale LLC is 1932982113. It was assigned to this organization in the NPPES registry on August 14, 2023.

Where is Lakeshore Family Dental Center Greendale LLC located?

Lakeshore Family Dental Center Greendale LLC is located at 5808 Broad St, Greendale, WI 53129. The listed phone number is (414) 421-2303.

What is Lakeshore Family Dental Center Greendale LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Lakeshore Family Dental Center Greendale LLC was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.