Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Family Dental of South East Wisconsin, SC

Organization Dentist · NPI 1053312389

Family Dental of South East Wisconsin, SC provides Dentist services in West Allis, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
Specialties on file
3

Practice location Address checks out

10202 W Hayes Ave
West Allis, WI 53227-2042
Phone: (414) 321-2720
Fax: (414) 321-7718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3499 (WI)
Dentist Taxonomy 122300000X · Licence 2304 (WI)
Dentist Taxonomy 122300000X · Licence 6783 (WI)

Record details

NPI number1053312389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Casey — Employee · (414) 321-2720
Other names Peter M Wilsens Dds Sc; Peter M Wilsens Dds Sc
NPI enumeratedAugust 9, 2005
Last updated in NPPESOctober 23, 2019
Mailing address10202 W Hayes Ave, West Allis, WI 53227-2042

Other providers in West Allis