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WISCONSIN DENTAL GROUP, S.C.
NPI 1760130280
Dentist - General Practice in Glendale, WI

Active since March 14, 2022
500 W SILVER SPRING DR STE K250, GLENDALE, WI 53217(262) 363-2220 Get Directions Write a Review

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

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 1760130280), doing business as Forwarddental Bayshore, is a healthcare organization registered as a general practice in Glendale, Wisconsin and active in the NPI registry since March 2022. The organization lists Celia Hayes, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1760130280
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWISCONSIN DENTAL GROUP, S.C.
Location Address500 W SILVER SPRING DR STE K250Glendale, WI 53217-5062
Mailing Address500 W Silver Spring Dr Ste K250Glendale, WI 53217-5062 · (262) 363-2220
Phone(262) 363-2220
Organization SubpartYes
Authorized OfficialCelia HayesCredentialing Coordinator · (217) 540-2100
Enumeration DateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1760130280 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.
500 W SILVER SPRING DR STE K250, Glendale, WI 53217
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Other Names 1

Doing Business AsForwarddental Bayshore

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.

ADVANCED DENTAL SPECIALISTS, LLC
Dentist (General Practice)
500 W SILVER SPRING DR STE K250
GLENDALE, WI 53217
Milwaukee County (414) 529-5330
DOUGLAS NORMAN DEDERICH DDS, PHD
Dentist (Periodontics)
500 W SILVER SPRING DR STE K250
GLENDALE, WI 53217
Milwaukee County (414) 963-2301

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 1760130280. It was assigned to this organization in the NPPES registry on March 14, 2022. The provider is doing business as ForwardDental Bayshore.

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

Wisconsin Dental Group, S.C. is located at 500 W Silver Spring Dr Ste K250, Glendale, WI 53217. The listed phone number is (262) 363-2220.

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.