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

Grant Park Dental, SC

Organization General Practice Dentistry · NPI 1578994620

Grant Park Dental, SC is a General Practice Dentistry in South Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013

Practice location Address checks out

1333 College Ave Ste C
South Milwaukee, WI 53172-1150
Phone: (414) 764-6070
Fax: (414) 764-3035
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2736 (WI)

Record details

NPI number1578994620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Costello — Owner · (414) 764-6070
NPI enumeratedNovember 27, 2013
Last updated in NPPESNovember 27, 2013
Mailing address1333 College Ave, Suite C, South Milwaukee, WI 53172-1150

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