1. Home
  2. Directory
  3. Wisconsin
  4. Oconomowoc
  5. Dentist
  6. NPI Profile

WISCONSIN DENTAL GROUP, S.C.
NPI 1013665561
Dentist - General Practice in Oconomowoc, WI

Active since March 14, 2022
1320 PABST FARMS CIR UNIT 190, OCONOMOWOC, WI 53066(262) 244-0288(262) 244-0290 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wisconsin Dental Group, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISCONSIN DENTAL GROUP, S.C. (NPI 1013665561), doing business as Forwarddental Oconomowoc, is a healthcare organization registered as a general practice in Oconomowoc, Wisconsin and active in the NPI registry since March 2022. The organization lists Celia Hayes, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1013665561
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWISCONSIN DENTAL GROUP, S.C.
Location Address1320 PABST FARMS CIR UNIT 190Oconomowoc, WI 53066-4877
Mailing Address1320 Pabst Farms Cir Unit 190Oconomowoc, WI 53066-4877 · (262) 244-0288 · Fax (262) 244-0290
Phone(262) 244-0288
Fax(262) 244-0290
Organization SubpartYes
Authorized OfficialCelia HayesCredentialing Coordinator · (217) 540-2100
Enumeration DateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1013665561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1320 PABST FARMS CIR UNIT 190, Oconomowoc, WI 53066
Open in Google Maps ↗

Other Names 1

Doing Business AsForwarddental Oconomowoc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wisconsin Dental Group, S.C.'s NPI number?

The NPI number for Wisconsin Dental Group, S.C. is 1013665561. It was assigned to this organization in the NPPES registry on March 14, 2022. The provider is doing business as ForwardDental Oconomowoc.

Where is Wisconsin Dental Group, S.C. located?

Wisconsin Dental Group, S.C. is located at 1320 Pabst Farms Cir Unit 190, Oconomowoc, WI 53066. The listed phone number is (262) 244-0288.

What is Wisconsin Dental Group, S.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Wisconsin Dental Group, S.C. was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.