Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wisconsin Dental Group, SC

Organization General Practice Dentistry · NPI 1073261509

Wisconsin Dental Group, SC provides General Practice Dentistry in Hales Corners, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

5250 S 108th St Ste 200
Hales Corners, WI 53130-1321
Phone: (414) 327-6363
Fax: (414) 327-6304
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1073261509
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWisconsin Dental Group, SC
Authorized official Celia Hayes — Credentialing Coordinator · (217) 540-2100
Other names Forwarddental Hales Corners
NPI enumeratedMarch 14, 2022
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address5250 S 108th St Ste 200, Hales Corners, WI 53130-1321

Other providers in Hales Corners