Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ids

Organization Endodontics · NPI 1689213787

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

In the registry since
2020
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Practice location Address checks out

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