Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162) — for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1073261509
Wisconsin Dental Group, S.c.
Organization Subpart: YES
Active
NPI Number1073261509
NPI TypeNPI-2 Organization
SpecialtyDentist, General Practice
Provider Details
NPI1073261509
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2022-03-14
Last Updated2022-03-14
Authorized OfficialCelia Hayes
Credentialing Coordinator
Phone: 2175402100
Mailing Address5250 S 108th St Ste 200
Hales Corners, WI 53130-1321
United States
Phone: (414) 327-6363 | Fax: (414) 327-6304
📍 View Map
Primary Practice Address5250 S 108th St Ste 200
Hales Corners, WI 53130-1321
United States
Phone: (414) 327-6363 | Fax: (414) 327-6304
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223G0001X – Dentist, General Practice
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About NPI 1073261509

Wisconsin Dental Group, S.c. is an organization registered in the CMS NPPES NPI Registry with NPI number 1073261509. The primary specialty listed is Dentist, General Practice. The organization is located in Hales Corners, WI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2022-03-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073261509?

NPI 1073261509 belongs to Wisconsin Dental Group, S.c., a Dentist, General Practice in Hales Corners, WI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073261509 active?

The current status of NPI 1073261509 in the NPPES registry is Active. The record was last updated on 2022-03-14.

What specialty is NPI 1073261509?

NPI 1073261509 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073261509?

You can verify NPI 1073261509 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073261509?

The primary practice address on file for NPI 1073261509 is 5250 S 108th St Ste 200, Hales Corners, WI 53130-1321. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073261509 issued?

NPI 1073261509 was first issued (enumerated) on 2022-03-14. The NPPES record was last updated on 2022-03-14.

Practice Location Map

Wisconsin Dental Group, S.c. is located at 5250 S 108th St Ste 200, Hales Corners, WI. Use the map below to find directions or verify the practice location.

📍 5250 S 108th St Ste 200, Hales Corners, WI 53130-1321  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Wisconsin Dental Group, S.c.. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-19 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162