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JOHN D WILDGEN DDS PC
NPI 1831208594
Dentist - General Practice in Laurie, MO

Active since August 29, 2006
128 S MAIN STREET, LAURIE, MO 65038(573) 374-5739(573) 374-8901 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John D Wildgen Dds Pc NPPES

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

JOHN D WILDGEN DDS PC (NPI 1831208594) is a healthcare organization registered as a general practice in Laurie, Missouri and active in the NPI registry since August 2006. The organization lists John D Wildgen, President, as its authorized official.

NPPES Registry Identity

NPI1831208594
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJOHN D WILDGEN DDS PC
Location Address128 S MAIN STREETLaurie, MO 65038-1083
Mailing AddressPo Box 1083Laurie, MO 65038-1083 · (573) 374-5739 · Fax (573) 374-8901
Phone(573) 374-5739
Fax(573) 374-8901
Organization SubpartNo
Authorized OfficialJohn D WildgenPresident · (573) 374-5739
Enumeration DateAugust 29, 2006
Last NPPES UpdateDecember 17, 2007
✔ NPI 1831208594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 0133788
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.
128 S MAIN STREET, Laurie, MO 65038
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 John D Wildgen Dds PC's NPI number?

The NPI number for John D Wildgen Dds PC is 1831208594. It was assigned to this organization in the NPPES registry on August 29, 2006.

Where is John D Wildgen Dds PC located?

John D Wildgen Dds PC is located at 128 S Main Street, Laurie, MO 65038. The listed phone number is (573) 374-5739.

What is John D Wildgen Dds PC'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 John D Wildgen Dds PC was last updated on December 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.