Wisconsin Dental Group, SC
Wisconsin Dental Group, SC is a General Practice Dentistry in Milwaukee, Wisconsin. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
3030 S Chase AveMilwaukee, WI 53207-2610
Phone: (414) 481-7400
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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 |
|---|---|
| Pediatric Dentistry | Taxonomy 1223P0221X |
Record details
| NPI number | 1619007044 |
|---|---|
| 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 Bay View |
| NPI enumerated | March 6, 2007 |
| Last updated in NPPES | March 14, 2022 |
| Certification date | March 14, 2022 |
| Mailing address | 3030 S Chase Ave, Milwaukee, WI 53207-2610 |
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