Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Dental of South East Wisconsin, SC

Organization Dentist · NPI 1053312389

Family Dental of South East Wisconsin, SC is a Dentist in West Allis, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
Specialties on file
3

Practice location Address checks out

10202 W Hayes Ave
West Allis, WI 53227-2042
Phone: (414) 321-2720
Fax: (414) 321-7718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3499 (WI)
Dentist Taxonomy 122300000X · Licence 2304 (WI)
Dentist Taxonomy 122300000X · Licence 6783 (WI)

Record details

NPI number1053312389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Casey — Employee · (414) 321-2720
Other names Peter M Wilsens Dds Sc; Peter M Wilsens Dds Sc
NPI enumeratedAugust 9, 2005
Last updated in NPPESOctober 23, 2019
Mailing address10202 W Hayes Ave, West Allis, WI 53227-2042

Other providers in West Allis