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WISCONSIN DENTAL GROUP S.C. NPI 1063160521


NPI Information

NPI: 1063160521
Provider Name: WISCONSIN DENTAL GROUP, S.C.

Doing Business As: FORWARDDENTAL WEST ALLIS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8001 W NATIONAL AVE
WEST ALLIS, WI
ZIP 53214
Phone: (608) 231-2006
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WISCONSIN DENTAL GROUP, S.C. is a general practice dentist in West Allis, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WISCONSIN DENTAL GROUP, S.C. NPI is 1063160521. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Forwarddental West Allis.

The provider's business location address is:

8001 W NATIONAL AVE
WEST ALLIS, WI
ZIP 53214-507
Phone: (608) 231-2006

The provider's authorized official is Celia Hayes .
The authorized official title is Credentialing Coordinator and has the following contact phone number (217) 540-2100.

The enumeration date for this NPI number is 3/14/2022 and was last updated on 4/1/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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