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

Organization Dentist · NPI 1962532325

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

In the registry since
2007
Specialties on file
2
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Practice location Address checks out

2 Science Ct Ste 100
Madison, WI 53711-1090
Phone: (262) 542-8860
Fax: (262) 524-9225
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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
Dentist Taxonomy 122300000X

Record details

NPI number1962532325
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWisconsin Dental Group, SC
Authorized official Celia Hayes — Credentialing Coordinator · (217) 540-2100
Other names Forwarddental Madison West
NPI enumeratedMarch 6, 2007
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022
Mailing address2 Science Ct Ste 100, Madison, WI 53711-1090

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