Organization · Type 2 NPI
Wisconsin Dental Team, A Service Corporation
Pediatric Dentistry · Wauwatosa, WI
NPI number
1215740576
Active
Practice location
805 N Mayfair Rd
Wauwatosa, WI 53226-4241
Fax (414) 249-6075
Mailing address
9709 Lakeside Blvd Ste 350
Spring, TX 77381-1213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4 other providers at this address
- Advanced Interventions, SCVascular & Interventional Radiology Physician Wauwatosa, WI NPI 1043515257
- Vascare - Mayfair, LLCAmbulatory Surgical Clinic/Center Wauwatosa, WI NPI 1477848992
- Wisconsin Anesthesia Team A Service CorporationAnesthesiology Physician Wauwatosa, WI NPI 1134918063
- Gregg Michael Gaylord, MDVascular & Interventional Radiology Physician Wauwatosa, WI NPI 1396890372
About NPI 1215740576
Wisconsin Dental Team, A Service Corporation's National Provider Identifier is 1215740576, issued on Jan 30, 2025. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Wauwatosa, WI. The record was last updated on Jun 20, 2025.