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 1073261509

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

In the registry since
2022

Practice location Address checks out

5250 S 108th St Ste 200
Hales Corners, WI 53130-1321
Phone: (414) 327-6363
Fax: (414) 327-6304
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 number1073261509
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWisconsin Dental Group, SC
Authorized official Celia Hayes — Credentialing Coordinator · (217) 540-2100
Other names Forwarddental Hales Corners
NPI enumeratedMarch 14, 2022
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address5250 S 108th St Ste 200, Hales Corners, WI 53130-1321

Other providers in Hales Corners