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

WISCONSIN DENTAL TEAM, A SERVICE CORPORATION
NPI 1215740576
Dentist - Pediatric Dentistry in Wauwatosa, WI

Active since January 30, 2025
805 N MAYFAIR RD, WAUWATOSA, WI 53226(414) 567-0662(414) 249-6075 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wisconsin Dental Team, A Service Corporation NPPES

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

WISCONSIN DENTAL TEAM, A SERVICE CORPORATION (NPI 1215740576) is a healthcare organization registered as a pediatric dentistry in Wauwatosa, Wisconsin and active in the NPI registry since January 2025. The organization lists Alejandra Rivera, Owner, as its authorized official.

NPPES Registry Identity

NPI1215740576
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWISCONSIN DENTAL TEAM, A SERVICE CORPORATION
Location Address805 N MAYFAIR RDWauwatosa, WI 53226-4241
Mailing Address9709 Lakeside Blvd Ste 350Spring, TX 77381-1213 · (713) 489-2198 · Fax (713) 489-2978
Phone(414) 567-0662
Fax(414) 249-6075
Organization SubpartNo
Authorized OfficialAlejandra RiveraOwner · (813) 388-1553
Enumeration DateJanuary 30, 2025
Last NPPES UpdateJune 20, 2025
NPPES CertifiedJune 20, 2025
✔ NPI 1215740576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
805 N MAYFAIR RD, Wauwatosa, WI 53226
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

ADVANCED INTERVENTIONS, SC
Radiology (Vascular & Interventional Radiology)
805 N MAYFAIR RD, ADVANCED INTERVENTIONS VASCARE
WAUWATOSA, WI 53226
Milwaukee County (414) 988-6773
WISCONSIN ANESTHESIA TEAM A SERVICE CORPORATION
Anesthesiology
805 N MAYFAIR RD
WAUWATOSA, WI 53226
Milwaukee County (414) 567-0662
DR. GREGG MICHAEL GAYLORD MD
Radiology (Vascular & Interventional Radiology)
805 N MAYFAIR RD
WAUWATOSA, WI 53226
Milwaukee County (414) 988-6773
VASCARE - MAYFAIR, LLC
Clinic/Center (Ambulatory Surgical)
805 N MAYFAIR RD
WAUWATOSA, WI 53226
Milwaukee County (414) 567-0662

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 Team, A Service Corporation's NPI number?

The NPI number for Wisconsin Dental Team, A Service Corporation is 1215740576. It was assigned to this organization in the NPPES registry on January 30, 2025.

Where is Wisconsin Dental Team, A Service Corporation located?

Wisconsin Dental Team, A Service Corporation is located at 805 N Mayfair Rd, Wauwatosa, WI 53226. The listed phone number is (414) 567-0662.

What is Wisconsin Dental Team, A Service Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Wisconsin Dental Team, A Service Corporation was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.