| Wisconsin Dental Group, S.c. | |
|
6048 W Mequon Rd Ste 200 Mequon WI 53092-1938 | |
| (414) 216-9211 | |
| (414) 216-9216 |
| Full Name | Wisconsin Dental Group, S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6048 W Mequon Rd Ste 200, Mequon, 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. 6048 W Mequon Rd Ste 200 Mequon WI 53092-1938 Ph: (414) 216-9211 | Wisconsin Dental Group, S.c. 6048 W Mequon Rd Ste 200 Mequon WI 53092-1938 Ph: (414) 216-9211 |
| NPI Number | 1174271613 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174271613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Kittleson Orthodontics, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10521 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-3141 | |
North Shore Dental Group S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 W Mequon Rd, Mequon, WI 53092 Phone: 262-242-1180 Fax: 262-242-0930 | |
Comprehensive Dental Services Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10521 N Port Washington Rd, Suite 200, Mequon, WI 53092 Phone: 262-241-2060 Fax: 262-241-2064 | |
Northshore Smiles, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10303 N Port Washington Rd Ste 103a, Mequon, WI 53092 Phone: 262-240-0405 | |
Brent J Martin Dds Ms Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1345 W Towne Square Rd, Mequon, WI 53092 Phone: 262-241-3019 Fax: 262-241-3027 | |
East Towne Dental Associated Belgium Family Dental Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11501 N Prot Washington Rd, Mequon, WI 53092 Phone: 262-241-8880 Fax: 262-241-5250 |