Smile Doctors of Wisconsin, S.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SMILE DOCTORS OF WISCONSIN, S.C.

Practice address

1616 N Randall Ave
Janesville, WI 53545-1118

Phone

(608) 754-4998

NPI assigned

Jul 10, 2019

Last updated

Nov 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Law

Title

Chief Clinical Officer

Phone

(386) 264-3925

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynae D Ellis, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Janesville, WI
  • NPI 1720161789
  NPD (past)
• Brian Mitchell Pelsue, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Janesville, WI
  • NPI 1326163957
  NPD (past)
• Mitchell W Pelsue, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Janesville, WI
  • NPI 1356424303
  NPD (past)

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1669024667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 SE INNER LOOP",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786262140",
            "telephone_number": "254-727-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N RANDALL AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451118",
            "telephone_number": "608-754-4998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "538 N Midvale Blvd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537053238",
            "country_code": "US",
            "telephone_number": "608-467-3336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILE DOCTORS OF WISCONSIN, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "386-264-3925"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Simonson, PTA
• Nicole Marie Simpson, PHARM.D
• Sisters of Charity of Our Lady Mother of the Church
• Patrick L Sitorius, MD
• Ann Slinde, PT
• Cathy L Smith, RD
• Charles F Smith, CRNA
• Geoffrey L Smith, D.O.
• Kimberly J Smith, MS CCC SLP
• Lloyd M. Smith, D.D.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in Janesville, WI
• Providers in Janesville, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.