NPI 1063160521

Wisconsin Dental Group, S.C.

Organisation General Practice Dentistry West Allis, WI

Practice location

Address: 8001 W National Ave, West Allis, WI 53214-4507
Phone: (608) 231-2006

Authorised official

Name: Celia Hayes
Title: Credentialing Coordinator
Phone: (217) 540-2100

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Wisconsin →

Registry record

NPI: 1063160521
Entity type: Organization
NPI issued: 14 Mar 2022
Record last updated: 1 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.