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Contact Information

CHILDREN'S DENTAL CLINIC, S.C.
3814 S HOWELL AVE
MILWAUKEE, WI53207-3841
 Phone: 414-744-3333
 Fax: 414-744-1155
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for CHILDREN'S DENTAL CLINIC, S.C.

NPI # 1447390521
LBN Legal business name CHILDREN'S DENTAL CLINIC, S.C.
Authorized official BALBIR BAGGA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
WI License # 2545
WI License # 4146
WI Other 951942 UNITED CONCORDIA PROVIDER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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