Wisconsin Dental Group, S.C.
NPI 1881342343ActiveOrganization· Dentist, General Practice· West Bend, WI
Dentist, General Practice in West Bend, 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 | 1881342343 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Wisconsin Dental Group, S.C. |
| NPI issued | Mar 14, 2022 |
| 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 | — | — |
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, General Practice providers in West Bend
- 1790840734
- 1578322897
- 1881755692
- 1982983714
- 1427201599
- 1871569475
- 1639234677
- 1740106095
- 1154833044
- 1114595683
- 1689719056
- 1285474270