Osr Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OSR DENTAL GROUP

Practice address

2572 S 76TH St
West Allis, WI 53219-2476

Phone

(414) 616-1986

NPI assigned

Apr 27, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Archana Lee

Title

Owner

Phone

(414) 630-2100

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1114863602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2572 S 76TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532192476",
            "telephone_number": "414-616-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 S 76TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532192476",
            "telephone_number": "414-616-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSR DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-630-2100"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in West Allis, WI
• Providers in West Allis, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.