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 1154459881

Wisconsin Dental Group, SC is a General Practice Dentistry in Appleton, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

3030 N Ballard Rd
Appleton, WI 54911-8707
Phone: (414) 963-2301
Fax: (414) 963-0413
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 number1154459881
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWisconsin Dental Group, SC
Authorized official Celia Hayes — Credentialing Coordinator · (217) 540-2100
Other names Forwarddental Appleton
NPI enumeratedMarch 2, 2007
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address3030 N Ballard Rd, Appleton, WI 54911-8707

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