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 1104574623

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

In the registry since
2022

Practice location Address checks out

15680 W Capitol Dr
Brookfield, WI 53005-2221
Phone: (262) 373-0344
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 number1104574623
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWisconsin Dental Group, SC
Authorized official Celia Hayes — Credentialing Coordinator · (217) 540-2100
Other names Forwarddental Brookfield
NPI enumeratedMarch 14, 2022
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address15680 W Capitol Dr, Brookfield, WI 53005-2221

Other providers in Brookfield