Wisconsin Dental Group, S.c.

NPI #1750411120 in Delafield, Wisconsin

Provider Information

NPI Number: 1750411120
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 6, 2007
Last Updated: Mar 14, 2022

Practice Location

Address: 3210 GOLF RD
City: Delafield
State: Wisconsin
ZIP Code: 53018-2104
Phone: (262) 404-9034

Authorized Official

Name: CELIA HAYES
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

Similar Providers

Provider Name	Specialty	City
DR. Thomas L Wavernek, DDS	Dentist - General Practice	Delafield	AI Deep Dive
DR. Michelle J Kelly, D.D.S.	Dentist - General Practice	Delafield	AI Deep Dive
DR. Mark R Knutson, DDS	Dentist - General Practice	Delafield	AI Deep Dive
DR. Christopher Visaya	Dentist - General Practice	Delafield	AI Deep Dive
DR. Thomas E Kielma, D.D.S.	Dentist - General Practice	Delafield	AI Deep Dive

Want to research this healthcare provider further?