Organization · Type 2 NPI

Wisconsin Dental Group, S.c.

General Practice Dentistry · Sun Prairie, WI

NPI number 1073261533 Active

Practice location

2572 Ironwood Dr Ste 108
Sun Prairie, WI 53590-8845

Fax (414) 481-0173

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Another provider at this address

Anastasiya Boyko, DMDGeneral Practice Dentistry Sun Prairie, WI NPI 1851079073

Other general practice dentistry providers in Sun Prairie

See all in Sun Prairie →

NPI record

NPI: 1073261533
Entity type: Organization (Type 2)
Issued: Mar 14, 2022
Last updated: Mar 14, 2022
Status: Active
Subpart: Yes of Wisconsin Dental Group, S.c.

Other names

Forwarddental Sun Prairie · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073261533

Wisconsin Dental Group, S.c.'s National Provider Identifier is 1073261533, issued on Mar 14, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sun Prairie, WI. The record was last updated on Mar 14, 2022.