NPIMap

Organization Active NPI

Wisconsin Dental Group, S.C.

Doing business as ForwardDental Franklin

  • General Practice Dentistry
  • Franklin, WI
National Provider Identifier
1164170684
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WISCONSIN DENTAL GROUP, S.C.
Doing business as
ForwardDental Franklin
Practice address
7740 S Lovers Lane Rd Ste 450
Franklin, WI 53132-2212
Phone
(414) 963-2301
NPI assigned
Mar 14, 2022
Last updated
Apr 15, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
WISCONSIN DENTAL GROUP, S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

7740 S Lovers Lane Rd Ste 450
Franklin, WI 53132-2212

Mailing address

7740 S Lovers Lane Rd Ste 450
Franklin, WI 53132-2212
Phone (414) 963-2301

Other names 1

  • ForwardDental Franklin Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wisconsin Dental Groupsc32 organizations share this tax ID, including this one
Part of
Wisconsin Dental Groupsc

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

7740 S Lovers Lane Rd
Franklin, WI 53132
Phone (424) 529-5330

7740 S Lovers Lane Rd
Ste 450
Franklin, WI 53132
Phone (414) 529-5330

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1164170684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 S LOVERS LANE RD STE 450",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531322212",
            "telephone_number": "414-963-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 S LOVERS LANE RD STE 450",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531322212",
            "telephone_number": "414-963-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN DENTAL GROUP, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WISCONSIN DENTAL GROUP, S.C.",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ForwardDental Franklin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ForwardDental Franklin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.