ENDODONTIC SPECIALISTS OF LACROSSE LTD
NPI 1972504843
Dentist - Endodontics in Onalaska, WI

Active since August 02, 2005
2700 NATIONAL DR, STE 102, ONALASKA, WI 54650(608) 783-3636(608) 783-3639 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Endodontic Specialists Of Lacrosse Ltd NPPES

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

ENDODONTIC SPECIALISTS OF LACROSSE LTD (NPI 1972504843) is a healthcare organization registered as an endodontics in Onalaska, Wisconsin and active in the NPI registry since August 2005. The organization lists Derek B Nordeen, President Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1972504843
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameENDODONTIC SPECIALISTS OF LACROSSE LTD
Location Address2700 NATIONAL DR, STE 102Onalaska, WI 54650
Mailing Address2700 National Dr, Ste 102Onalaska, WI 54650 · (608) 783-3636 · Fax (608) 783-3639
Fax(608) 783-3639
Organization SubpartNo
Authorized OfficialDerek B NordeenPresident Of Corporation · (608) 783-3636
Enumeration DateAugust 2, 2005
Last NPPES UpdateJuly 21, 2022
NPI 1972504843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
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.
2700 NATIONAL DR, Onalaska, WI 54650

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 Endodontic Specialists Of Lacrosse Ltd's NPI number?

The NPI number for Endodontic Specialists Of Lacrosse Ltd is 1972504843. It was assigned to this organization in the NPPES registry on August 2, 2005.

Where is Endodontic Specialists Of Lacrosse Ltd located?

Endodontic Specialists Of Lacrosse Ltd is located at 2700 National Dr Ste 102, Onalaska, WI 54650. The listed phone number is (608) 783-3636.

What is Endodontic Specialists Of Lacrosse Ltd'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 Endodontic Specialists Of Lacrosse Ltd was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.