DR. JUSTIN RICHARD WILD D.D.S.
NPI 1043500648
Dentist - Orthodontics and Dentofacial Orthopedics in Eden Prairie, MN

Active since April 15, 2011
11800 SINGLETREE LN, EDEN PRAIRIE, MN 55344(952) 237-8619 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Justin Richard Wild D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTIN RICHARD WILD D.D.S. (NPI 1043500648) is an individual orthodontics and dentofacial orthopedics provider in Eden Prairie, Minnesota, licensed in Minnesota (D13192) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1043500648
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. JUSTIN RICHARD WILDCredential: D.D.S.
Location Address11800 SINGLETREE LNEden Prairie, MN 55344-5328
Mailing Address9651 Wyoming Ter SBloomington, MN 55438-1606 · (952) 237-8619
Sole ProprietorNo
Enumeration DateApril 15, 2011
Last NPPES UpdateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
NPI 1043500648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MN · D13192
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
11800 SINGLETREE LN, Eden Prairie, MN 55344

Accepted Insurance

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
11800 SINGLETREE LN, SUITE 204
EDEN PRAIRIE, MN 55344
Dentist (General Practice)
11800 SINGLETREE LN, SUITE 208
EDEN PRAIRIE, MN 55344
Clinical Nurse Specialist
11800 SINGLETREE LN, SUITE 204
EDEN PRAIRIE, MN 55344
Clinical Neuropsychologist
11800 SINGLETREE LN, #203
EDEN PRAIRIE, MN 55344
Mechanotherapist
11800 SINGLETREE LN, SUITE 205
EDEN PRAIRIE, MN 55344
Dentist (Orthodontics and Dentofacial Orthopedics)
11800 SINGLETREE LN, #200
EDEN PRAIRIE, MN 55344
Dentist (General Practice)
11800 SINGLETREE LN, SUITE 208
EDEN PRAIRIE, MN 55344
Chiropractor
11800 SINGLETREE LN, SUITE 205
EDEN PRAIRIE, MN 55344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Wild's NPI number?

The NPI number for Justin Wild is 1043500648. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Where is Justin Wild located?

Justin Wild practices at 11800 Singletree Ln, Eden Prairie, MN 55344. The listed phone number is (952) 237-8619.

What is Justin Wild's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Justin Wild accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Justin Wild as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Wild was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.