Organization · Type 2 NPI

Wisconsin Dental Group, S.c.

General Practice Dentistry · Milwaukee, WI

NPI number 1972251494 Active

Practice location

5100 W Forest Home Ave Ste 203
Milwaukee, WI 53219-4562

Fax (414) 214-1192

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.

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NPI record

NPI: 1972251494
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 Forest Home · 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 1972251494

Wisconsin Dental Group, S.c.'s National Provider Identifier is 1972251494, issued on Mar 14, 2022. 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.