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 1174271613

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

In the registry since
2022

Practice location Address checks out

6048 W Mequon Rd Ste 200
Mequon, WI 53092-1938
Phone: (414) 216-9211
Fax: (414) 216-9216
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 number1174271613
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWisconsin Dental Group, SC
Authorized official Celia Hayes — Credentialing Coordinator · (217) 540-2100
Other names Forwarddental Mequon
NPI enumeratedMarch 14, 2022
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address6048 W Mequon Rd Ste 200, Mequon, WI 53092-1938

Other providers in Mequon