Wisconsin Dental Group, S.C.
NPI 1023148681ActiveOrganization· Dentist, General Practice· Janesville, WI
Dentist, General Practice in Janesville, Wisconsin, registered in NPPES in March 2007, part of Wisconsin Dental Group, S.C. The authorized official on file is Celia Hayes, Credentialing Coordinator.
Overview
| NPI | 1023148681 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Wisconsin Dental Group, S.C. |
| NPI issued | Mar 6, 2007 |
| Last updated in NPPES | Mar 14, 2022 |
| Certified by provider | Mar 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — | — |
| Dentist, Periodontics | 1223P0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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, General Practice providers in Janesville
- 1710010707
- 1891708400
- 1043334121
- 1235140013
- 1376558106
- 1740679448
- 1679998314
- 1316984784
- 1366772204
- 1235213489
- 1730108960
- 1922772987