Carolyn Griffin, DDS, MS

Primary specialty

DentistTaxonomy code 122300000X

License

7054-15 Issued in WI

Practice address

1720 E Lake Bluff Blvd
Shorewood, WI 53211-1563

Phone

(414) 962-1800

NPI assigned

Jun 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carolyn Strash Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolyn Griffin DDS LLC

  dba Lake Bluff Dental

  • Prosthodontics
  • Shorewood, WI
  • NPI 1811426810
  NPD Authorized official
• Major Dental Clinics of Milwaukee S.C.

  • Dentist
  • Milwaukee, WI
  • NPI 1710330725
  NPD (past)
• Timothy O. Hart DDS Ms, LTD

  • Prosthodontics
  • Shorewood, WI
  • NPI 1619023082
  NPD (past)

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1336589134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E LAKE BLUFF BLVD",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111563",
            "telephone_number": "414-962-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E LAKE BLUFF BLVD",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111563",
            "telephone_number": "414-962-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7054-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "STRASH",
            "credential": "DDS, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Christine Gillis, L.AC.
• Sarah E Girvan, RN
• Kirk Gorbach Jr., BCBA
• Karen Gottlieb, LPC
• Joanne Graham, PHD
• Eva Gulotta, MS/CCC-SLP
• Tim Halverson, RDN
• Josephine Hayes-Birchler, DDS
• Health and Wellness Clinic of Shorewood, S.C.
• Healthcare Psychology Consultants LLC

• Dentist in Shorewood, WI
• Providers in Shorewood, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.