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GRANT PARK DENTAL, S.C.
NPI 1578994620
Dentist - General Practice in South Milwaukee, WI

Active since November 27, 2013
1333 COLLEGE AVE, SUITE C, SOUTH MILWAUKEE, WI 53172(414) 764-6070(414) 764-3035 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grant Park Dental, S.c. NPPES

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

GRANT PARK DENTAL, S.C. (NPI 1578994620) is a healthcare organization registered as a general practice in South Milwaukee, Wisconsin and active in the NPI registry since November 2013. The organization lists Michael Costello, Owner, as its authorized official.

NPPES Registry Identity

NPI1578994620
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRANT PARK DENTAL, S.C.
Location Address1333 COLLEGE AVE, SUITE CSouth Milwaukee, WI 53172-1150
Mailing Address1333 College Ave, Suite CSouth Milwaukee, WI 53172-1150 · (414) 764-6070 · Fax (414) 764-3035
Phone(414) 764-6070
Fax(414) 764-3035
Organization SubpartNo
Authorized OfficialMichael CostelloOwner · (414) 764-6070
Enumeration DateNovember 27, 2013
✔ NPI 1578994620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 2736
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.
1333 COLLEGE AVE, South Milwaukee, WI 53172
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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 19

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

INSIGHT FAMILY SERVICES, LLC
Case Management
1333 COLLEGE AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 635-3252
DR. MICHAEL L COSTELLO DDS
Dentist (General Practice)
1333 COLLEGE AVE, SUITE C
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 764-6070
ROCHELLE LANCERIO
Registered Nurse
1333 COLLEGE AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 775-2500
M & M PHYSICAL THERAPY, LLC
Physical Therapist
1333 COLLEGE AVE, SUITE B
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 571-9146
ELIZABETH FRANCES HAYES RN
Registered Nurse
1333 COLLEGE AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 775-2500
EMILY AXT SAC-IT
Counselor (Addiction (Substance Use Disorder))
1333 COLLEGE AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 775-2500
ANDREW JAMES WHELAN
Counselor (Addiction (Substance Use Disorder))
1333 COLLEGE AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 775-2500
MR. LARRY JOHN PLEVA P.T.
Physical Therapist
1333 COLLEGE AVE, SUITE B
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 571-9146

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 Grant Park Dental, S.C.'s NPI number?

The NPI number for Grant Park Dental, S.C. is 1578994620. It was assigned to this organization in the NPPES registry on November 27, 2013.

Where is Grant Park Dental, S.C. located?

Grant Park Dental, S.C. is located at 1333 College Ave Suite C, South Milwaukee, WI 53172. The listed phone number is (414) 764-6070.

What is Grant Park Dental, 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 Grant Park Dental, S.C. was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.