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

Wisconsin Dental Group, SC

Organization Pediatric Dentistry · NPI 1043340417

Wisconsin Dental Group, SC is a Pediatric Dentistry in Milwaukee, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1575 N Rivercenter Dr Ste 200
Milwaukee, WI 53212-3965
Phone: (414) 276-5453
Fax: (414) 276-1715
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1043340417
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWisconsin Dental Group, SC
Authorized official Celia Hayes — Credentialing Coordinator · (217) 540-2100
Other names Forwarddental Rivercenter
NPI enumeratedMarch 6, 2007
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022
Mailing address1575 N Rivercenter Dr Ste 200, Milwaukee, WI 53212-3965

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