Provider Demographics
NPI:1770792293
Name:ACCESS ENDODONTICS LLC
Entity type:Organization
Organization Name:ACCESS ENDODONTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:STOVER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:262-782-2227
Mailing Address - Street 1:16650 W BLUEMOUND RD
Mailing Address - Street 2:400
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-5920
Mailing Address - Country:US
Mailing Address - Phone:262-782-2227
Mailing Address - Fax:262-782-2277
Practice Address - Street 1:16650 W BLUEMOUND RD
Practice Address - Street 2:400
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-5920
Practice Address - Country:US
Practice Address - Phone:262-782-2227
Practice Address - Fax:262-782-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty