Active NPI
KW Lake Mills LLC
- Dental Clinic/Center
- Lake Mills, WI
National Provider Identifier
1710895503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- KW LAKE MILLS LLC
- Practice address
- 119 W Lake St
Lake Mills, WI 53551-1514 - Phone
- (920) 261-8228
- NPI assigned
- Sep 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyle Garro, D.D.S.
- Title
- Partner
- Phone
- (920) 420-5611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
119 W Lake St
Lake Mills, WI 53551-1514
Mailing address
1518 Doctors CT
Watertown, WI 53094-4102
Phone (920) 261-8228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1710895503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 DOCTORS CT",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530944102",
"telephone_number": "920-261-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W LAKE ST",
"city": "LAKE MILLS",
"state": "WI",
"postal_code": "535511514",
"telephone_number": "920-261-8228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KW LAKE MILLS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "GARRO",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "920-420-5611",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mills, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.