Organization · Type 2 NPI

Wisconsin Dental Group, S.c.

General Practice Dentistry · Madison, WI

NPI number 1962532325 Active

Practice location

2 Science Ct Ste 100
Madison, WI 53711-1090

Fax (262) 524-9225

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	None listed
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.

Other general practice dentistry providers in Madison

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NPI record

NPI: 1962532325
Entity type: Organization (Type 2)
Issued: Mar 6, 2007
Last updated: Apr 15, 2022
Status: Active
Subpart: Yes of Wisconsin Dental Group, S.c.

Other names

<unavail>
Forwarddental Madison West · 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 1962532325

Wisconsin Dental Group, S.c.'s National Provider Identifier is 1962532325, issued on Mar 6, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Madison, WI. The record was last updated on Apr 15, 2022.