| Wisconsin Dental Group, S.c. | |
|
N80w17707 Custer Ln Menomonee Falls WI 53051-3630 | |
| (262) 524-9893 | |
| (262) 524-9225 |
| Full Name | Wisconsin Dental Group, S.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | N80w17707 Custer Ln, Menomonee Falls, 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. N80w17707 Custer Ln Menomonee Falls WI 53051-3630 Ph: (262) 524-9893 | Wisconsin Dental Group, S.c. N80w17707 Custer Ln Menomonee Falls WI 53051-3630 Ph: (262) 524-9893 |
| NPI Number | 1578693149 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578693149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
North Hills Dental Arts Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N80 W14832 Appleton Avenue, Menomonee Falls, WI 53051 Phone: 262-255-4343 Fax: 262-255-1968 | |
Waukesha County Community Dental Clinic, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N81w15062 Appleton Ave, Menomonee Falls, WI 53051 Phone: 262-953-4699 Fax: 262-522-2828 | |
Nesic Dentl Lounge Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N71 W13040 W Appleton Avenue, Suite 200, Menomonee Falls, WI 53051 Phone: 815-830-5729 | |
Generations Family Dental Care Menomonee Falls, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 Phone: 262-781-8416 Fax: 262-781-9268 | |
Riverside Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N84w15865 Appleton Ave, Menomonee Falls, WI 53051 Phone: 262-251-6980 Fax: 262-735-4823 | |
Ridgeview Dental Group Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: W178 N9201 Water Tower Place, Suite 100, Menomonee Falls, WI 53051 Phone: 262-251-8704 Fax: 262-251-8341 | |
Eyad Bittar Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N84w15959 Appleton Ave, Menomonee Falls, WI 53051 Phone: 262-251-6555 |