Organization · Type 2 NPI

Wisconsin Dental Group, S.c.

General Practice Dentistry · Milwaukee, WI

NPI number 1619007044 Active

Practice location

3030 S Chase Ave
Milwaukee, WI 53207-2610

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed
Pediatric Dentistry	1223P0221X	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.

3 other providers at this address

Other general practice dentistry providers in Milwaukee

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NPI record

NPI: 1619007044
Entity type: Organization (Type 2)
Issued: Mar 6, 2007
Last updated: Mar 14, 2022
Status: Active
Subpart: Yes of Wisconsin Dental Group, S.c.

Other names

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Forwarddental Bay View · 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 1619007044

Wisconsin Dental Group, S.c.'s National Provider Identifier is 1619007044, issued on Mar 6, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 14, 2022.