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

Wisconsin Dental Group, SC

Organization Pediatric Dentistry · NPI 1578693149

Wisconsin Dental Group, SC is a Pediatric Dentistry in Menomonee Falls, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

N80W17707 Custer Ln
Menomonee Falls, WI 53051-3630
Phone: (262) 524-9893
Fax: (262) 524-9225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1578693149
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWisconsin Dental Group, SC
Authorized official Celia Hayes — Credentialing Coordinator · (217) 540-2100
Other names Forwarddental Menomonee Falls
NPI enumeratedMarch 6, 2007
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing addressN80w17707 Custer Ln, Menomonee Falls, WI 53051-3630

Other providers in Menomonee Falls