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

Wisconsin Dental Group, SC

Organization Dentist · NPI 1437289006

Wisconsin Dental Group, SC is a Dentist in Kenosha, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

3620 57th Ave Ste 600
Kenosha, WI 53144-4925
Phone: (414) 351-6010
Fax: (414) 351-6148
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X

Record details

NPI number1437289006
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWisconsin Dental Group, SC
Authorized official Celia Hayes — Credentialing Coordinator · (217) 540-2100
Other names Forwarddental Kenosha
NPI enumeratedMarch 6, 2007
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022
Mailing address3715 Washington Rd, Kenosha, WI 53144-1629

Other providers in Kenosha