OrganizationActive
Grant Park Dental, S.c.
NPI 1578994620 · General Practice Dentistry · South Milwaukee, WI
Grant Park Dental, S.c. is a General Practice Dentistry organization in South Milwaukee, WI (NPI 1578994620).
Provider details
- NPI number
- 1578994620
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michael Costello, Owner(414) 764-6070
- License
- 2736 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1333 College Ave
Suite C
South Milwaukee, WI 53172-1150
Phone: (414) 764-6070
Fax: (414) 764-3035
Street-level locationGet directions
Mailing address
1333 College Ave
South Milwaukee, WI 53172-1150
Registry dates
- Enumerated
- 2013-11-27
- Last updated
- 2013-11-27
Frequently asked questions
- What is Grant Park Dental, S.c.'s NPI number?
- Grant Park Dental, S.c.'s National Provider Identifier (NPI) is 1578994620, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grant Park Dental, S.c.?
- Grant Park Dental, S.c. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Grant Park Dental, S.c. located?
- Grant Park Dental, S.c.'s practice location on file with NPPES is 1333 College Ave, South Milwaukee, WI 53172-1150.
- What is Grant Park Dental, S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Grant Park Dental, S.c. is (414) 764-6070.
- Who is the authorized official for Grant Park Dental, S.c.?
- The authorized official listed on Grant Park Dental, S.c.'s NPPES record is Michael Costello, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grant Park Dental, S.c.'s NPI active?
- Yes — Grant Park Dental, S.c.'s NPI (1578994620) is active in the NPPES registry as of the last update on 2013-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.