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WILD FAMILY DENTISTRY PLLC
NPI 1598458655
Clinic/Center - Dental in Mendota Heights, MN

Active since June 02, 2023
750 MAIN ST STE 215, MENDOTA HEIGHTS, MN 55118(651) 452-0261(651) 452-6109 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Wild Family Dentistry Pllc NPPES

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

WILD FAMILY DENTISTRY PLLC (NPI 1598458655) is a healthcare organization registered as a dental in Mendota Heights, Minnesota and active in the NPI registry since June 2023. The organization lists Laura Elizabeth Wild, President, as its authorized official.

NPPES Registry Identity

NPI1598458655
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWILD FAMILY DENTISTRY PLLC
Location Address750 MAIN ST STE 215Mendota Heights, MN 55118-3768
Mailing Address750 Main St Ste 215Mendota Heights, MN 55118-3768 · (651) 452-0261
Phone(651) 452-0261
Fax(651) 452-6109
Organization SubpartNo
Authorized OfficialLaura Elizabeth WildPresident · (612) 327-4582
Enumeration DateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1598458655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
750 MAIN ST STE 215, Mendota Heights, MN 55118
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Wild Family Dentistry PLLC's NPI number?

The NPI number for Wild Family Dentistry PLLC is 1598458655. It was assigned to this organization in the NPPES registry on June 2, 2023.

Where is Wild Family Dentistry PLLC located?

Wild Family Dentistry PLLC is located at 750 Main St Ste 215, Mendota Heights, MN 55118. The listed phone number is (651) 452-0261.

What is Wild Family Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Wild Family Dentistry PLLC accept?

Health plans from UnitedHealthcare list Wild Family Dentistry PLLC 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 Wild Family Dentistry PLLC was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.