NPI 1740938299

Wisconsin Dental Group, S.C.

Organisation General Practice Dentistry Pewaukee, WI

Practice location

Address: 135 Capitol Dr, Pewaukee, WI 53072-2401
Phone: (262) 691-3931

Authorised official

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

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1740938299
Entity type: Organization
NPI issued: 14 Mar 2022
Record last updated: 14 Mar 2022

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.