Wisconsin Dental Group, SC
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
Practice location Address checks out
1734 Thierer RdMadison, WI 53704-3718
Phone: (608) 244-6888
Fax: (608) 244-2372
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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 number | 1982734323 |
|---|---|
| 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 Madison East |
| NPI enumerated | March 6, 2007 |
| Last updated in NPPES | March 14, 2022 |
| Certification date | March 14, 2022 |
| Mailing address | 1734 Thierer Rd, Madison, WI 53704-3718 |
Other providers in Madison
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Dr. Brian J Wackwitz, DDS
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Dr. Fredrick C Weigt, DDS
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Mr. John P Wiederholt, DMD
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Dr. Hannah Yost Yancho, DDS
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Dr. Jae Jun You, DDS
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