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

Wisconsin Dental Group, SC

Organization Pediatric Dentistry · NPI 1578693149

Wisconsin Dental Group, SC provides Pediatric Dentistry in Menomonee Falls, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

N80W17707 Custer Ln
Menomonee Falls, WI 53051-3630
Phone: (262) 524-9893
Fax: (262) 524-9225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1578693149
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWisconsin Dental Group, SC
Authorized official Celia Hayes — Credentialing Coordinator · (217) 540-2100
Other names Forwarddental Menomonee Falls
NPI enumeratedMarch 6, 2007
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing addressN80w17707 Custer Ln, Menomonee Falls, WI 53051-3630

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