PETER RAY WILDMAN DDS
NPI 1740303585
Dentist - General Practice in Stickney, IL

Q: What is Peter Wildman's NPI number?

The NPI number for Peter Wildman is 1740303585. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Q: What is Peter Wildman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Peter Wildman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 09, 2007

3905 SOUTH OAK PARK AVE, STICKNEY, IL 60402(708) 749-2040(708) 749-9843 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Peter Ray Wildman Dds NPPES

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

PETER RAY WILDMAN DDS (NPI 1740303585) is an individual general practice provider in Stickney, Illinois and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1740303585

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NamePETER RAY WILDMANCredential: DDS

Location Address3905 SOUTH OAK PARK AVEStickney, IL 60402-4169

Mailing Address3905 South Oak Park AveStickney, IL 60402-4169 · (708) 749-2040 · Fax (708) 749-9843

Phone(708) 749-2040

Fax(708) 749-9843

Sole ProprietorNo

Enumeration DateApril 9, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1740303585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3905 SOUTH OAK PARK AVE, Stickney, IL 60402

Open in Google Maps ↗

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 Peter Wildman's NPI number?

The NPI number for Peter Wildman is 1740303585. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Peter Wildman located?

Peter Wildman practices at 3905 South Oak Park Ave, Stickney, IL 60402. The listed phone number is (708) 749-2040.

What is Peter Wildman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Peter Wildman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.