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

Pro Dental Wi 1 PC

Organization Dentist · NPI 1013744523

Pro Dental Wi 1 PC is a Dentist in Milwaukee, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1838 S 15th St
Milwaukee, WI 53204-3225
Phone: (414) 455-8805
Fax: (414) 455-8812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
General Practice Dentistry Taxonomy 1223G0001X

Record details

NPI number1013744523
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simone Wilson-Adeleke — Director Of Credentialing · (732) 731-8398
Other names Destiny Dental Of Milwaukee
NPI enumeratedSeptember 18, 2024
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address10 Woodbridge Center Dr Ste 520, Woodbridge, NJ 07095-1152

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