Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wisconsin Dental Group, SC

Organization Endodontics · NPI 1366572927

Wisconsin Dental Group, SC is an Endodontics in Racine, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

6218 Washington Ave Ste C
Racine, WI 53406-3916
Phone: (262) 886-1300
Fax: (262) 886-1837
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X
Periodontics Taxonomy 1223P0300X

Record details

NPI number1366572927
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWisconsin Dental Group, SC
Authorized official Celia Hayes — Credentialing Coordinator · (217) 540-2100
Other names Forwarddental Racine
NPI enumeratedMarch 6, 2007
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address6218 Washington Ave Ste C, Mt Pleasant, WI 53406-3916

Other providers in Racine