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

Wisconsin Dental Group, SC

Organization General Practice Dentistry · NPI 1013665561

Wisconsin Dental Group, SC is a General Practice Dentistry in Oconomowoc, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1320 Pabst Farms Cir Unit 190
Oconomowoc, WI 53066-4877
Phone: (262) 244-0288
Fax: (262) 244-0290
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1013665561
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWisconsin Dental Group, SC
Authorized official Celia Hayes — Credentialing Coordinator · (217) 540-2100
Other names Forwarddental Oconomowoc
NPI enumeratedMarch 14, 2022
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address1320 Pabst Farms Cir Unit 190, Oconomowoc, WI 53066-4877

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