Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ids

Organization Endodontics · NPI 1689213787

Ids is an Endodontics in Kenosha, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

5021 Washington Rd
Kenosha, WI 53144-4292
Phone: (262) 654-6770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X

Record details

NPI number1689213787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vicky Gill — Office Manager · (847) 263-7668
NPI enumeratedJanuary 6, 2020
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020
Mailing address5021 Washington Rd, Kenosha, WI 53144-4292

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