WISCONSIN DENTAL GROUP, S.C.


Address: 1025 S Moorland Rd Ste 201, Brookfield, WI 53005-6945
Phone: 2627825454

WISCONSIN DENTAL GROUP, S.C. (NPI# 1194855742) 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) 1194855742
Entity Type Organization
Organization Name WISCONSIN DENTAL GROUP, S.C.
Other Organization Name FORWARD DENTAL
Practice Address 1025 S Moorland Rd Ste 201
Brookfield
WI 53005-6945
Practice Telephone 2627825454
Practice Fax Number 2627821630
Mailing Telephone 2627825454
Mailing Fax Number 2627821630
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 122300000X Dentist 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
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
1467582916 Wisconsin Dental Group, S.c. Dentist 9134 W Silver Spring Dr, Milwaukee, WI 53225-3414 2007-03-06

Office Location

Street Address 1025 S MOORLAND RD STE 201
City BROOKFIELD
State WI
Zip Code 53005-6945

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154937621 Nsk Precision Healing & Wellness Acupuncturist 17040 W. Greenfield Ave #6, Brookfield, WI 53005 2020-09-21
1033772124 Dbt Consultants LLC Social Worker 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 2019-04-15
1780142588 Ashley Wing Registered Nurse 405 Bishops Way, Apt 555, Brookfield, WI 53005 2019-03-11
1407370398 Tombolo, LLC Clinic/Center 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 2017-08-01
1720509045 Rss William Conner LLC Dentist 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 2017-06-28
1669926598 Mackenzie Rondeau Physical Therapist 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 2016-08-09
1699159319 Charles Alan Kass Dentist 12720 W. North Avenue, Brookfield, WI 53005 2015-07-13
1164804274 Mary-catherine Nimphius Counselor 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 2015-06-25
1528447034 Weighless Md, LLC Dietitian, Registered 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 2015-05-29
1366837346 Maegan Michelle Cook Dentist 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 2015-04-06
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215570528 Grace Kim Tosi Dentist 15375 W Bluemound Rd Ste 150, Brookfield, WI 53005-4008 2019-10-21
1073073151 Miranda Marie Brown Dentist 17600 W Capitol Dr, Brookfield, WI 53045-2003 2019-03-23
1003254947 Peter A Drahos Dds PC Dentist 9118 Ogden Ave Unit B, Brookfield, IL 60513-1974 2013-06-13
1689011991 Adam Jon Meinhardt Dentist 3930 N Brookfield Rd, Suite A, Brookfield, WI 53045-1960 2013-05-28
1689994824 Samantha Taylor Cox Dentist 12455 W Capitol Dr, Unit E, Brookfield, WI 53005-2461 2010-06-10
1306002258 Keith E Post Dentist 15655 W North Ave, #102, Brookfield, WI 53005-4422 2008-07-30
1720244759 Saadallah Jabri Dentist 9144 Broadway Ave, Brookfield, IL 60513-1304 2008-07-30
1437339421 Alan John Stover Dentist 16475 Tia Ct, Brookfield, WI 53005-1311 2007-11-07
1407043417 Thomas Andersen Dentist 14265 Sunrise Ave, Brookfield, WI 53005-1122 2007-10-03
1053514471 Robert Allen Jazgar I Dentist 2355 Tilton Ct, Brookfield, WI 53045-4282 2007-06-06
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Competitor

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City BROOKFIELD
Zip Code 53005

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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.

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