# BRIGHT SIDE PEDIATRIC DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215889936
- **Authorized official:** DR. LAURA E GOODELL DMD (OWNER/PEDIATRIC DENTIST)
- **Authorized official phone:** (262) 310-1819

## Contact information

- **Practice address:** 125 E WATER ST, WEST BEND, WI 53095-3417
- **Practice address phone:** (262) 310-1819
- **Practice address fax:** (262) 310-1820
- **Mailing address:** 125 E WATER ST STE 103, WEST BEND, WI 53095-3418
- **Mailing address phone:** (262) 310-1819
- **Mailing address fax:** (262) 310-1820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2026
- **Last updated:** 02/13/2026