Wisconsin Dental Group, S.c.
NPI #1073261533 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1073261533
- Entity Type
- Organization
- Organization Name
- Wisconsin Dental Group, S.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WISCONSIN DENTAL GROUP, S.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 14, 2022
- Last Updated
- Mar 14, 2022
Practice Location
- Address
- 2572 IRONWOOD DR STE 108
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590-8845
- Phone
- (414) 481-7400
Authorized Official
- Name
- CELIA HAYES
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
Similar Providers
| Provider Name | |
|---|---|
| DR. Tanner J. Mckenna, D.D.S. | |
| DR. Thomas Leonard Wilhelms, DDS | |
| Robert J. Ziino, D.D.S. | |
| DR. Jacob M Zabrowski, DDS | |
| Raymond Matthew Maddox, DDS |
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