| Wisconsin Dental Group, S.c. | |
|
7040 N Port Washington Rd Ste 414 Glendale WI 53217-3885 | |
| (920) 212-4641 | |
| (920) 954-9080 |
| Full Name | Wisconsin Dental Group, S.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7040 N Port Washington Rd Ste 414, Glendale, Wisconsin |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Dental Group, S.c. 7040 N Port Washington Rd Ste 414 Glendale WI 53217-3885 Ph: (920) 212-4641 | Wisconsin Dental Group, S.c. 7040 N Port Washington Rd Ste 414 Glendale WI 53217-3885 Ph: (920) 212-4641 |
| NPI Number | 1265562631 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 04/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265562631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Bruce Holmstrom D.d.s.,sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5150 N Port Washington Rd, Suite 201, Glendale, WI 53217 Phone: 414-964-8850 Fax: 414-964-8918 | |
Glendale Optimal Dental Care, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6191 N Green Bay Ave, Glendale, WI 53209 Phone: 414-404-6464 Fax: 414-404-6499 | |
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Christopher P. Mcaboy Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 377 W River Woods Pkwy # 120, Glendale, WI 53212 Phone: 414-906-8940 | |
Restoration Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6373 N Jean Nicolet Rd Ste 202, Glendale, WI 53217 Phone: 414-228-9680 | |
Advanced Dental Specialists, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Silver Spring Dr Ste K250, Glendale, WI 53217 Phone: 414-529-5330 Fax: 414-529-9552 |