WISCONSIN DENTAL GROUP, S.C.
NPI 1073261509
Dentist - General Practice in Hales Corners, WI

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

The NPI number for Wisconsin Dental Group, S.C. is 1073261509. It was assigned to this organization in the NPPES registry on March 14, 2022. The provider is doing business as ForwardDental Hales Corners.

Q: 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.

Active since March 14, 2022

5250 S 108TH ST STE 200, HALES CORNERS, WI 53130(414) 327-6363(414) 327-6304 Get Directions Write a Review

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

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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 1073261509), doing business as Forwarddental Hales Corners, is a healthcare organization registered as a general practice in Hales Corners, Wisconsin and active in the NPI registry since March 2022. The organization lists Celia Hayes, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1073261509

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameWISCONSIN DENTAL GROUP, S.C.

Location Address5250 S 108TH ST STE 200Hales Corners, WI 53130-1321

Mailing Address5250 S 108th St Ste 200Hales Corners, WI 53130-1321 · (414) 327-6363 · Fax (414) 327-6304

Phone(414) 327-6363

Fax(414) 327-6304

Organization SubpartYes

Authorized OfficialCelia HayesCredentialing Coordinator · (217) 540-2100

Enumeration DateMarch 14, 2022

NPPES CertifiedMarch 14, 2022

✔ NPI 1073261509 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.

5250 S 108TH ST STE 200, Hales Corners, WI 53130

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Other Names 1

Doing Business AsForwarddental Hales Corners

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUSTIN PETERS DDS

Dentist (General Practice)

5250 S 108TH ST STE 200
HALES CORNERS, WI 53130

Milwaukee County (414) 427-0900

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 1073261509. It was assigned to this organization in the NPPES registry on March 14, 2022. The provider is doing business as ForwardDental Hales Corners.

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

Wisconsin Dental Group, S.C. is located at 5250 S 108th St Ste 200, Hales Corners, WI 53130. The listed phone number is (414) 327-6363.

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.