OrganizationActive
Wisconsin Dental Group, S. C.
NPI 1003978057 · Periodontics · Milwaukee, WI
Provider details
- NPI number
- 1003978057
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Peter Young, Vice President of Operations(414) 357-2040
Specialties & taxonomies
Dental Providers
- Dentist122300000X
Dental Providers
- Endodontics1223E0200X
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
- Pediatric Dentistry1223P0221X
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9052 N Deerbrook Trl
Milwaukee, WI 53223-2474
Phone: (414) 357-2040
Street-level locationGet directions
Mailing address
9052 N Deerbrook Trl
Milwaukee, WI 53223-2474
Other names (DBA / former)
- Doing business as
- Forward Dental
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.