| Wisconsin Dental Group, S.c. | |
|
2 Science Ct Ste 100 Madison WI 53711-1090 | |
| (262) 542-8860 | |
| (262) 524-9225 |
| Full Name | Wisconsin Dental Group, S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2 Science Ct Ste 100, Madison, 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. 2 Science Ct Ste 100 Madison WI 53711-1090 Ph: (262) 542-8860 | Wisconsin Dental Group, S.c. 2 Science Ct Ste 100 Madison WI 53711-1090 Ph: (262) 542-8860 |
| NPI Number | 1962532325 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 04/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962532325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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