Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN D WILDGEN, DDSPC
Active Sole ProprietorDR. JOHN D WILDGEN, DDSPC is a General Dentistry healthcare provider located in LAURIE, Missouri. NPI 1922282995 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LAURIE, MO
Registration Details
- NPI Number
- 1922282995
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 26, 2007 (18.639431187597 yrs)
- Last Updated
- Dec 26, 2007
- License
-
013788 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
128 SOUTH MAIN STREETLAURIE, MO, 65038Browse MO providers · Browse ZIP 65038
- Phone
- 5733745739
- Fax
- 5733748901
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.