Wisconsin Dental Group, S. C.
NPI 1003978057ActiveOrganization· Dentist, Periodontics· Milwaukee, WI
Dentist, Periodontics in Milwaukee, Wisconsin, registered in NPPES in December 2006. The authorized official on file is Peter Young, Vice President Of Operations.
Overview
| NPI | 1003978057 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 15, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
| Dentist | 122300000X | — | — |
| Dentist, Endodontics | 1223E0200X | — | — |
| Dentist, General Practice | 1223G0001X | — | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, Periodontics providers in Milwaukee
- 1144282542
- 1912093386
- 1326248881
- 1043132384
- 1548356702
- 1720016900
- 1902284185
- 1164436150
- 1952785271
- 1255726170
- 1407249410
- 1548305352