WISCONSIN DENTAL GROUP, S.C. (NPI# 1467582916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467582916 |
| Entity Type | Organization |
| Organization Name | WISCONSIN DENTAL GROUP, S.C. |
| Other Organization Name | FORWARD DENTAL |
| Practice Address |
9134 W Silver Spring Dr Milwaukee WI 53225-3414 |
| Practice Telephone | 4145350374 |
| Practice Fax Number | 4145350577 |
| Mailing Telephone | 4145350374 |
| Mailing Fax Number | 4145350577 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| X | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Forward Dental | Doing Business As Name - Organization |
| 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 |
| Street Address |
9134 W SILVER SPRING DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53225-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639235369 | Edward Binninger | Dentist | 9134 W Silver Spring Dr, Milwaukee, WI 53225-3414 | 2006-12-28 |
| 1417490442 | Arlene Lewis | Dental Hygienist | 9134 W Silver Spring Dr, Milwaukee, WI 53225-3414 | 2016-11-22 |
| 1528455177 | Murtaza M Sajan Dds Inc Sc | Dentist | 9134 W Silver Spring Dr, Milwaukee, WI 53225-3414 | 2015-04-22 |
| 1518297357 | Michael Faust | Dentist | 9134 W Silver Spring Dr, Milwaukee, WI 53225-3414 | 2009-12-29 |
| 1841347382 | Perry Cohn | Dentist | 9134 W Silver Spring Dr, Milwaukee, WI 53225-3414 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194088682 | Waulonda Renee Williams | Registered Nurse | 5847 North 91st Street, Milwaukee, WI 53225 | 2012-06-19 |
| 1447519152 | Sandy Xiong | Licensed Practical Nurse | 5656 N 86th Place, Milwaukee, WI 53225 | 2012-05-15 |
| 1992939292 | Marzie Lee Satterwhite | Physical Therapy Assistant | 8534 W Mill Road, Milwaukee, WI 53225 | 2009-05-14 |
| 1538319157 | Katherine Monica Block | Speech-Language Pathologist | 5015 N. 106th St., Milwaukee, WI 53225 | 2008-09-19 |
| 1932329992 | Jennifer Marie Eggert | Speech-Language Pathologist | 9688 W Appleton Ave, Milwaukee, WI 53225 | 2007-05-01 |
| 1396830501 | Milwaukee Pain Treatment Services Sc | Anesthesiology | 5400 N 118th Court, Milwaukee, WI 53225 | 2006-10-04 |
| 1962518050 | Kenneth John Kowalski | Dentist | 4878 N Swan Road, Milwaukee, WI 53225 | 2006-08-22 |
| 1447290325 | Catherine Mae Jenkins | Registered Nurse | 5650 North 97th Street, Milwaukee, WI 53225 | 2006-06-07 |
| 1942249578 | David Irving Stein | Specialist | 5400 N 118tth Court, Milwaukee, WI 53225 | 2006-06-06 |
| 1720057482 | Herslof's, Inc | Optometrist | 12000 W Carmen Ave, Milwaukee, WI 53225 | 2006-03-15 |
| Find all providers in zip 53225 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1558995902 | Wesley Chiasson | Dentist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2020-02-25 |
| 1598307738 | Hamdi Cem Gungor | Dentist | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2019-10-09 |
| 1407313521 | Jonathan Hanna | Dentist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2019-02-25 |
| 1588103097 | Jason Holt | Dentist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2017-02-16 |
| 1104210277 | Alexandra Claire Korte | Dentist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-03-26 |
| 1245629518 | Colleen Greene | Dentist | 9000 W Wisconsin Ave, Dental Center, Milwaukee, WI 53226-4874 | 2015-01-09 |
| 1538454400 | Carli Digioia | Dentist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2011-06-18 |
| 1700014354 | Jamie Lynn Bass | Dentist | 9000 W Wisconsin Ave, Dental Center, Milwaukee, WI 53226-4874 | 2009-06-22 |
| 1952507188 | Dana L Radtke | Dentist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-3518 | 2007-06-25 |
| Find all providers in MILWAUKEE | ||||
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| 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.