CAROLYN GRIFFIN DDS LLC NPI 1811426810

NPI Information

  • NPI: 1811426810
  • Provider Name: CAROLYN GRIFFIN DDS LLC
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Organization
  • Doing Business As: LAKE BLUFF DENTAL
  • Address: 1720 E LAKE BLUFF BLVD
    SHOREWOOD, WI
    ZIP 53211
  • Phone: (414) 962-1800

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NPI Details

CAROLYN GRIFFIN DDS LLC is a prosthodontics dentist in Shorewood, WI. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. CAROLYN GRIFFIN DDS LLC NPI is 1811426810. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lake Bluff Dental.

The provider's business location address is:

1720 E LAKE BLUFF BLVD
SHOREWOOD, WI
ZIP 53211-517
Phone: (414) 962-1800
Fax: (414) 962-2302

The provider's authorized official is Carolyn Griffin .
The authorized official title is Dentist and has the following contact phone number (414) 962-1800.

The enumeration date for this NPI number is 6/5/2017 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0700XDentistProsthodontics7054-15WISCONSINYes

What is NPI?

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This page was last updated on: 11/21/2025

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