WISCONSIN DENTAL GROUP, S.C. is a general practice dentist in Milwaukee, 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 1972251494. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
5100 W FOREST HOME AVE STE 203
MILWAUKEE, WI
ZIP 53219-562
Phone: (414) 214-1102
Fax: (414) 214-1192
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 CLIA number assigned to this NPI record is 52D2224197 - pharmacy with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/14/2022 and was last updated on 3/14/2022.