Kelly Lauren Griffith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14245 Issued in CT

Practice address

151 Broadway St
Colchester, CT 06415-1056

Phone

(860) 537-1444

NPI assigned

Aug 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kelly Lauren Van Wagenen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Perry J. Stamatiades, DDS, PA

  • General Practice Dentistry
  • Asheville, NC
  • NPI 1104554542
  NPD

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1467908814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 BROADWAY ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151056",
            "telephone_number": "860-537-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BROADWAY ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151056",
            "telephone_number": "860-537-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10A Yorkshire St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032718",
            "country_code": "US",
            "telephone_number": "828-274-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 County Services Park",
            "address_purpose": "LOCATION",
            "city": "Sylva",
            "state": "NC",
            "postal_code": "287795713",
            "country_code": "US",
            "telephone_number": "828-586-1200",
            "fax_number": "828-586-0047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "KELLY",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10574",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "151098",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "14245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "VAN WAGENEN",
            "middle_name": "LAUREN",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Micaela Rae Gobeille, OD
• Jennifer Grandpre, DPT
• Grateful Guidance, LLC
• Rebecca A Green, DC, DACBSP
• Kathleen M Greene, RPT
• Danielle M Grillo, APRN
• John Grimes, PT
• Robert Guarino, PHARMD, RPH
• Tamie Lee Hamilton, MSW
• Tara Nicole Hast, LMFT

• General Practice Dentistry in Colchester, CT
• Providers in Colchester, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.