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

Wauwatosa Dental Group SC

Organization Dentist · NPI 1104885482

Wauwatosa Dental Group SC is a Dentist in Wauwatosa, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2600 N Mayfair Rd Ste 750
Wauwatosa, WI 53226-1309
Phone: (414) 257-3366
Fax: (414) 258-1390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1104885482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Dickinson — President Owner · (414) 257-3366
NPI enumeratedMarch 23, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2600 N Mayfair Rd, Suite 750, Wauwatosa, WI 53226-1309

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