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Wisconsin Dental Group, S. C.

Periodontics in Milwaukee, WI · enumerated 2006 · authorized official Peter Young, Vice President of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003978057

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Registry record

Entity type Organization (Type 2)
Legal business name Wisconsin Dental Group, S. C.
Other name <Unavail>
Practice address 9052 N Deerbrook Trl, Milwaukee, WI, 53223
Phone (414) 357-2040
Enumeration date Dec 15, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

122300000X Dentist Dental Providers Secondary
1223E0200X Endodontics Dental Providers Secondary
1223G0001X General Practice Dentistry Dental Providers Secondary
1223P0221X Pediatric Dentistry Dental Providers Secondary
1223P0300X Periodontics Dental Providers Primary

Authorized official

Name Peter Young
Title Vice President of Operations
Phone (414) 357-2040

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Wisconsin Dental Group, S. C.?
NPPES lists Peter Young (Vice President of Operations) as the authorized official for this organization.
What is the NPI number for Wisconsin Dental Group, S. C.?
The NPI for Wisconsin Dental Group, S. C. is 1003978057, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.