Wisconsin Dental Group, SC
Wisconsin Dental Group, SC provides General Practice Dentistry in West Bend, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1006 S Main StWest Bend, WI 53095-4604
Phone: (262) 346-2170
Fax: (262) 346-2294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1881342343 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Wisconsin Dental Group, SC |
| Authorized official | Celia Hayes — Credentialing Coordinator · (217) 540-2100 |
| Other names | Forwarddental West Bend |
| NPI enumerated | March 14, 2022 |
| Last updated in NPPES | March 14, 2022 |
| Certification date | March 14, 2022 |
| Mailing address | 1006 S Main St, West Bend, WI 53095-4604 |
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