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

FORWARDDENTAL GLENDALE
NPI 1265562631
Dentist - Pediatric Dentistry in Glendale, WI

Active since March 06, 2007
7040 N PORT WASHINGTON RD STE 414, GLENDALE, WI 53217(920) 212-4641(920) 954-9080 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Forwarddental Glendale NPPES

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

FORWARDDENTAL GLENDALE (NPI 1265562631) is a healthcare organization registered as a pediatric dentistry in Glendale, Wisconsin and active in the NPI registry since March 2007. The organization lists Celia Hayes, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1265562631
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWISCONSIN DENTAL GROUP, S.C.
Location Address7040 N PORT WASHINGTON RD STE 414Glendale, WI 53217-3885
Mailing Address7040 N Port Washington Rd Ste 414Glendale, WI 53217-3885 · (920) 212-4641 · Fax (920) 954-9080
Phone(920) 212-4641
Fax(920) 954-9080
Organization SubpartYes
Authorized OfficialCelia HayesCredentialing Coordinator · (217) 540-2100
Enumeration DateMarch 6, 2007
Last NPPES UpdateApril 15, 20222 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
✔ NPI 1265562631 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.
7040 N PORT WASHINGTON RD STE 414, Glendale, WI 53217
Open in Google Maps ↗

Other Names 1

Doing Business AsForwarddental Glendale

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

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 1265562631. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is doing business as Forwarddental Glendale.

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

Wisconsin Dental Group, S.C. is located at 7040 N Port Washington Rd Ste 414, Glendale, WI 53217. The listed phone number is (920) 212-4641.

What is Wisconsin Dental Group, S.C.'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 Group, S.C. was last updated on April 15, 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.