Wisconsin Dental Group, SC
Wisconsin Dental Group, SC provides Pediatric Dentistry in New Berlin, Wisconsin. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
15100 Library LnNew Berlin, WI 53151-5291
Phone: (262) 641-0056
Fax: (262) 641-0058
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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 number | 1952431090 |
|---|---|
| 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 New Berlin |
| NPI enumerated | March 7, 2007 |
| Last updated in NPPES | March 14, 2022 |
| Certification date | March 14, 2022 |
| Mailing address | 15100 Library Ln, New Berlin, WI 53151-5291 |