Wisconsin Dental Group, SC
Wisconsin Dental Group, SC is a General Practice Dentistry in Sun Prairie, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2572 Ironwood Dr Ste 108Sun Prairie, WI 53590-8845
Phone: (414) 481-7400
Fax: (414) 481-0173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1073261533 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Wisconsin Dental Group, SC |
| Authorized official | Celia Hayes — Credentialing Coordinator · (217) 540-2100 |
| Other names | Forwarddental Sun Prairie |
| NPI enumerated | March 14, 2022 |
| Last updated in NPPES | March 14, 2022 |
| Certification date | March 14, 2022 |
| Mailing address | 2572 Ironwood Dr Ste 108, Sun Prairie, WI 53590-8845 |
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Dr. Thomas Leonard Wilhelms, DDS
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Robert J. Ziino, DDS
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