WISCONSIN DENTAL GROUP, S.C.
NPI 1104574623
Dentist - General Practice in Brookfield, WI

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

The NPI number for Wisconsin Dental Group, S.C. is 1104574623. It was assigned to this organization in the NPPES registry on March 14, 2022. The provider is doing business as ForwardDental Brookfield.

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

15680 W CAPITOL DR, BROOKFIELD, WI 53005(262) 373-0344 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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 1104574623), doing business as Forwarddental Brookfield, is a healthcare organization registered as a general practice in Brookfield, Wisconsin and active in the NPI registry since March 2022. The organization lists Celia Hayes, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1104574623

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameWISCONSIN DENTAL GROUP, S.C.

Location Address15680 W CAPITOL DRBrookfield, WI 53005-2221

Mailing Address15680 W Capitol DrBrookfield, WI 53005-2221 · (262) 373-0344

Phone(262) 373-0344

Organization SubpartYes

Authorized OfficialCelia HayesCredentialing Coordinator · (217) 540-2100

Enumeration DateMarch 14, 2022

NPPES CertifiedMarch 14, 2022

✔ NPI 1104574623 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.

15680 W CAPITOL DR, Brookfield, WI 53005

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Other Names 1

Doing Business AsForwarddental Brookfield

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 2

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

DR. NATHANIEL VAN RYN DMD

Dentist

15680 W CAPITOL DR
BROOKFIELD, WI 53005

Waukesha County (262) 373-0344

SEJAL T PATEL

Dentist (General Practice)

15680 W CAPITOL DR
BROOKFIELD, WI 53005

Waukesha County (262) 373-0344

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 1104574623. It was assigned to this organization in the NPPES registry on March 14, 2022. The provider is doing business as ForwardDental Brookfield.

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

Wisconsin Dental Group, S.C. is located at 15680 W Capitol Dr, Brookfield, WI 53005. The listed phone number is (262) 373-0344.

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.