WISCONSIN DENTAL GROUP, S.C.


Address: 7040 N Port Washington Rd, Glendale, WI 53217-3838
Phone: 4143516256

WISCONSIN DENTAL GROUP, S.C. (NPI# 1003946252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003946252
Entity Type Organization
Organization Name WISCONSIN DENTAL GROUP, S.C.
Other Organization Name FORWARD DENTAL
Practice Address 7040 N Port Washington Rd
Glendale
WI 53217-3838
Practice Telephone 4143516256
Mailing Telephone 4143516256
Enumeration Date 2007-03-06
Last Update Date 2020-08-22
Authorized Official Name PETER YOUNG (VP)
Authorized Official Telephone 4143572040
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Forward Dental Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1881726412 Wisconsin Dental Group, S.c. Dentist 5100 W Forest Home Ave, Milwaukee, WI 53219-4527 2007-03-09
1952431090 Wisconsin Dental Group, S.c. Dentist 15100 W. Library Lane, New Berlin, WI 53151 2007-03-07
1366572927 Wisconsin Dental Group, S.c. Dentist 6218 Washington Ave Ste C, Racine, WI 53406-3916 2007-03-06
1194855742 Wisconsin Dental Group, S.c. Dentist 1025 S Moorland Rd Ste 201, Brookfield, WI 53005-6945 2007-03-06
1417087479 Wisconsin Dental Group, S.c. Dentist 705 S 24th Ave, The Galleria, Suite 430, Wausau, WI 54401-5242 2007-03-07
1548390404 Wisconsin Dental Group, S.c. Dentist 10058 W Loomis Rd, Franklin, WI 53132-8109 2007-03-07
1023148681 Wisconsin Dental Group, S.c. Dentist 1407 N Wright Rd, Janesville, WI 53546-1314 2007-03-06
1144350703 Wisconsin Dental Group, S.c. Dentist 3410 80th St, Kenosha, WI 53142-4975 2007-03-06
1437289006 Wisconsin Dental Group, S.c. Dentist 3715 Washington Rd, Kenosha, WI 53144-1629 2007-03-06
1578693149 Wisconsin Dental Group, S.c. Dentist N80w17707 Custer Ln, Menomonee Falls, WI 53051-3630 2007-03-06

Office Location

Street Address 7040 N PORT WASHINGTON RD
City GLENDALE
State WI
Zip Code 53217-3838

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821047283 James Edward Berman Dermatology 7040 N Port Washington Rd, Suite 404, Glendale, WI 53217-3885 2006-05-10
1245506971 Forefront Dermatology, S.c. Dermatology 7040 N Port Washington Rd, Suite 404, Glendale, WI 53217 2012-03-27
1891068599 Petrou-haefs Eyecare, LLC Clinic/Center 7040 N Port Washington Rd, Suite 420, Glendale, WI 53217-3885 2012-02-12
1114183126 Liberty Ann Boucher Dentist 7040 N Port Washington Rd, Glendale, WI 53217-3838 2008-07-30
1427234723 Joseph L Gaffney Dentist 7040 N Port Washington Rd, Glendale, WI 53217-3838 2008-01-16
1972710077 Daniel C Ross Student in an Organized Health Care Education/Training Program 7040 N Port Washington Rd, Glendale, WI 53217-3838 2007-05-17
1265562631 Wisconsin Dental Group,s.c. Dentist 7040 N Port Washington Rd, Glendale, WI 53217-3838 2007-03-06
1346380979 James Lipinski Dentist 7040 N Port Washington Rd, Ste 414, Glendale, WI 53217-3838 2007-02-06
1508936154 Northeast Obgyn Sc Obstetrics & Gynecology 7040 N Port Washington Rd, Suite 400, Glendale, WI 53217-3838 2006-11-09
1942380522 Stephanie Ann Murphy Dentist 7040 N Port Washington Rd, 410, Glendale, WI 53217-3838 2006-10-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922632587 Jasmine Dockery Pharmacist 5400 N Port Washington, Glendale, WI 53217 2020-02-23
1174017339 North Lakes Nursing Home Health Care Agency LLC Home Health 225 E Fairmount Ave, Milwaukee, WI 53217 2018-06-20
1083140289 Miriah Ann King, Ms, Lpc Counselor 7805 North Boyd Way, Fox Point, WI 53217 2017-05-08
1245783067 Lakesha L Jones Counselor 5235 N Ironwood Rd, Glendale, WI 53217 2016-07-28
1750783312 Ibrahim S Abouzeid Specialist/Technologist, Other 333 W Brown Deer Road, #240, Milwaukee, WI 53217 2014-09-25
1255733598 Victoria Gorodetsky Pharmacist 229 W Indian Creek Ct, Milwaukee, WI 53217 2014-09-18
1174800049 John Herman Esser Internal Medicine 1050 W Acacia Rd, Milwaukee, WI 53217 2011-11-07
1710298351 Leann M Harman Physical Therapist 5333 N Port Washington Rd Ste B, Glendale, WI 53217 2010-06-29
1306012455 Emily Marie Gallagher Speech-Language Pathologist 6700 N. Port Washington Road, Milwaukee, WI 53217 2008-05-07
1164625455 Mary Catherine Enderlin Psychologist 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 2007-06-06
Find all providers in zip 53217

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669071825 Jack Bayraymyan Dental Group Inc. Dentist 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 2020-10-20
1134691629 Hunter Orthodontics Pllc Dentist 6525 W Sack Dr Ste 101, Glendale, AZ 85308-7106 2018-12-20
1578038121 Sun Orthodontics, LLC Dentist 4901 W Bell Rd Ste 120, Glendale, AZ 85308-3465 2018-10-10
1407200694 Tina Keun Nan Park Dentist 962 Calle Amable, Glendale, CA 91208-3062 2016-04-14
1609246792 Ninette Hacopian Dentist 1122 Linden Ave, Apt 2, Glendale, CA 91201-1550 2015-10-01
1588082754 Vina Zinn Saperstein Dentist 5750 W Thunderbird Rd Ste H800, Glendale, AZ 85306-4675 2014-04-03
1699019240 The Orthodontic Studio Dentist 3600 N Verdugo Rd Ste 200, Glendale, CA 91208-1258 2012-11-20
1356580963 Melissa Kim Lee Dentist 345 N Kenwood St Apt 206, Glendale, CA 91206-5406 2009-02-05
1992976484 Armne Kartalian Dentist 666 W Lexington Dr, Glendale, CA 91203-1662 2008-03-12
1447442546 Aurelia Bedard Dentist 18555 N 79th Ave Ste A102, Glendale, AZ 85308-8371 2007-08-13
Find all providers in GLENDALE

Competitor

Search similar providers

City GLENDALE
Zip Code 53217

Improve Information

Please comment or provide details below to improve the information on WISCONSIN DENTAL GROUP, S.C..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches