OrganizationActive
Wisconsin Dental Group, S.c.
NPI 1619007044 · General Practice Dentistry · Milwaukee, WI
Provider details
- NPI number
- 1619007044
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Wisconsin Dental Group, S.c.
- Organization subpart
- Yes
- Authorized official
- Celia Hayes, Credentialing Coordinator(217) 540-2100
Specialties & taxonomies
Dental Providers
- Pediatric Dentistry1223P0221X
Dental Providers
Profile Score
Detailed profile(89/100 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
3030 S Chase Ave
Milwaukee, WI 53207-2610
Phone: (414) 481-7400
Street-level locationGet directions
Mailing address
3030 S Chase Ave
Milwaukee, WI 53207-2610
Other names (DBA / former)
- Doing business as
- Forwarddental Bay View
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2022-03-14
- Certified
- 2022-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.