Wisconsin Dental Group, S.C.
NPI 1164170684ActiveOrganization· Dentist, General Practice· Franklin, WI
Dentist, General Practice in Franklin, Wisconsin, registered in NPPES in March 2022, part of Wisconsin Dental Group, S.C. The authorized official on file is Celia Hayes, Credentialing Coordinator.
Overview
| NPI | 1164170684 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Wisconsin Dental Group, S.C. |
| NPI issued | Mar 14, 2022 |
| Last updated in NPPES | Apr 15, 2022 |
| Certified by provider | Apr 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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 |
|---|
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