Wisconsin Dental Group, S.C. in Menomonee Falls - Pediatric Dentistry
Wisconsin Dental Group, S.C. - NPI 1578693149
Wisconsin Dental Group, S.C. is a Pediatric Dentistry in Menomonee Falls, Wisconsin. Wisconsin Dental Group, S.C. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Wisconsin Dental Group, S.C. is 1578693149. The last update date is 2022-03-14.
Wisconsin Dental Group, S.C.'s current location address is N80w17707 Custer Ln, Menomonee Falls, Wisconsin. You can contact this provider via phone number 2625249893 and fax number 2625249225. The mailing address for Wisconsin Dental Group, S.C. is N80w17707 Custer Ln, Menomonee Falls, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wisconsin Dental Group, S.C. |
|---|---|
| Address | N80w17707 Custer Ln, Menomonee Falls, Wisconsin |
| Phone Number | 2625249893 |
| Fax Number | 2625249225 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Hayes Celia |
| Telephone Number | 2175402100 |
NPI Number Detail
| NPI Number | 1578693149 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2022-03-14 |
Provider Mailing Address Detail
| Address | N80w17707 Custer Ln |
|---|---|
| City | Menomonee Falls |
| State | Wisconsin (WI) |
| Post Code | 530513630 |
| Phone Number | 2625249893 |
| Fax Number | 2625249225 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
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. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Wisconsin Dental Group, S.C. by the Centers for Medicare & Medicaid Services?
The Wisconsin Dental Group, S.C. has been assigned the NPI (National Provider Identifier) 1578693149 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Wisconsin Dental Group, S.C. is located?
The Wisconsin Dental Group, S.C. is situated at the following address: N80W17707 Custer Ln, Menomonee Falls, WI, 530513630.
What is the Wisconsin Dental Group, S.C.'s specialty and taxonomy code?
The Wisconsin Dental Group, S.C.'s specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did the Wisconsin Dental Group, S.C. receive the assignment of its 1578693149 from the Centers for Medicare & Medicaid Services?
The Wisconsin Dental Group, S.C. was issued its 1578693149 by the Centers for Medicare & Medicaid Services on 2007-03-06.
As of what date were the Wisconsin Dental Group, S.C.'s details last updated?
The information pertaining to the Wisconsin Dental Group, S.C., including its address, specialty, and other details, was most recently updated on 2022-03-14.