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NICHOLAS JON WILSDORF DDS
NPI 1679258263
Dentist in Saint Louis, MO

Active since June 20, 2023
2653 LOCUST ST, SAINT LOUIS, MO 63103(314) 645-6451 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Jon Wilsdorf Dds NPPES

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

NICHOLAS JON WILSDORF DDS (NPI 1679258263) is an individual dentist in Saint Louis, Missouri, licensed in Missouri (2023023194) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1679258263
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameNICHOLAS JON WILSDORFCredential: DDS
Location Address2653 LOCUST STSaint Louis, MO 63103-1411
Mailing Address818 Oak Knoll RdRolla, MO 65401-4714 · (573) 201-4732
Phone(314) 645-6451
Sole ProprietorYes
Enumeration DateJune 20, 2023
NPPES CertifiedJune 20, 2023
✔ NPI 1679258263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2023023194
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2653 LOCUST ST, Saint Louis, MO 63103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

SARAH ANN FRANSSENS AGNP
Nurse Practitioner (Adult Health)
2653 LOCUST ST
SAINT LOUIS, MO 63103
St. Louis City (314) 645-6451
DR. BRENDAN MICHAEL DE MARCO MD
Internal Medicine (Infectious Disease)
2653 LOCUST ST
SAINT LOUIS, MO 63103
St. Louis City (855) 751-8879
LAMARA DICKERSON LCSW
Social Worker (Clinical)
2653 LOCUST ST
SAINT LOUIS, MO 63103
St. Louis City (314) 401-8976
AMC PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
2653 LOCUST ST
SAINT LOUIS, MO 63103
St. Louis City (855) 751-8878
DAVID C WOODARD LMSW
Social Worker (Clinical)
2653 LOCUST ST
SAINT LOUIS, MO 63103
St. Louis City (855) 751-8879
MRS. NATALIE L BAUGHER NP
Nurse Practitioner (Family)
2653 LOCUST ST
SAINT LOUIS, MO 63103
St. Louis City (314) 977-9050

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 Nicholas Wilsdorf's NPI number?

The NPI number for Nicholas Wilsdorf is 1679258263. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Where is Nicholas Wilsdorf located?

Nicholas Wilsdorf practices at 2653 Locust St, Saint Louis, MO 63103. The listed phone number is (314) 645-6451.

What is Nicholas Wilsdorf's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Nicholas Wilsdorf accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 14 other insurers list Nicholas Wilsdorf 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 Nicholas Wilsdorf was last updated on June 20, 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.