CHILDREN'S DENTAL CLINIC S.C. NPI 1447390521

NPI Information

NPI: 1447390521
Provider Name: CHILDREN'S DENTAL CLINIC, S.C.
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
CLIA Number: 52D2116576
Address: 3814 S HOWELL AVE
MILWAUKEE, WI
ZIP 53207
Phone: (414) 744-3333

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NPI Details

CHILDREN'S DENTAL CLINIC, 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. CHILDREN'S DENTAL CLINIC, S.C. NPI is 1447390521. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3814 S HOWELL AVE
MILWAUKEE, WI
ZIP 53207-841
Phone: (414) 744-3333
Fax: (414) 744-1155

The provider's authorized official is Balbir R Bagga .
The authorized official title is President and has the following contact phone number (414) 744-3333.

The CLIA number assigned to this NPI record is 52D2116576 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 9/11/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	2545	WISCONSIN	No
2	1223P0221X	Dentist	Pediatric Dentistry	2545	WISCONSIN	No
3	1223G0001X	Dentist	General Practice	4146	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	951942	OTHER	WISCONSIN	UNITED CONCORDIA PROVIDER

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: 11/21/2025

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