Wisconsin Dental Group, SC
Wisconsin Dental Group, SC is a General Practice Dentistry in Green Bay, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2593 Development Dr Ste 280Green Bay, WI 54311-5999
Phone: (262) 646-8333
Fax: (262) 646-2410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1497403927 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Wisconsin Dental Group, SC |
| Authorized official | Celia Hayes — Credentialing Coordinator · (217) 540-2100 |
| Other names | Forwarddental Green Bay Development Drive; Forwarddental Green Bay Development Drive |
| NPI enumerated | March 14, 2022 |
| Last updated in NPPES | April 15, 2022 |
| Certification date | April 15, 2022 |
| Mailing address | 2593 Development Dr Ste 280, Green Bay, WI 54311-5999 |
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Wisconsin Dental Group, SC
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