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PAUL R WILD DDS PA
NPI 1871155788
Dentist - General Practice in Mendota Heights, MN

Active since July 01, 2019
750 MAIN ST, SUITE 215, MENDOTA HEIGHTS, MN 55118(651) 452-0261(651) 452-6109 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2019, Jul 1, 2019 (2 updates tracked since 2019).

About Paul R Wild Dds Pa NPPES

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

PAUL R WILD DDS PA (NPI 1871155788) is a healthcare organization registered as a general practice in Mendota Heights, Minnesota and active in the NPI registry since July 2019. The organization lists Paul William Wild, Owner, as its authorized official.

NPPES Registry Identity

NPI1871155788
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePAUL R WILD DDS PA
Location Address750 MAIN ST, SUITE 215Mendota Heights, MN 55118
Mailing Address750 Main St, Suite 215Mendota Heights, MN 55118 · (651) 452-0261 · Fax (651) 452-6109
Phone(651) 452-0261
Fax(651) 452-6109
Organization SubpartNo
Authorized OfficialPaul William WildOwner · (651) 452-0261
Enumeration DateJuly 1, 2019
Last NPPES UpdateNovember 7, 20192 updates tracked since enumeration
✔ NPI 1871155788 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.
750 MAIN ST, Mendota Heights, MN 55118
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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

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.

MENDOTA HEIGHTS WP LLC
Assisted Living Facility
750 MAIN ST, SUITE 200
MENDOTA HEIGHTS, MN 55118
Dakota County (651) 287-0265
HEALTHENUTRIFIT LLC
Dietitian, Registered
750 MAIN ST, SUITE 100
MENDOTA HEIGHTS, MN 55118
Dakota County (651) 592-7830
DANIEL WILLIAM KOSKI R.PH.
Pharmacist
750 MAIN ST, SUITE 103
MENDOTA HEIGHTS, MN 55118
Dakota County (651) 455-6873
612 CHIROPRACTIC & WELLNESS
Chiropractor
750 MAIN ST, SUITE 100
MENDOTA HEIGHTS, MN 55118
Dakota County (612) 578-6001
HISTOPATHOMETRICS
Clinic/Center (Health Service)
750 MAIN ST, SUITE 100
MENDOTA HEIGHTS, MN 55118
Dakota County (651) 334-6225
D.W.KOSKI,INC.
Pharmacy (Community/Retail Pharmacy)
750 MAIN ST, SUITE 103
MENDOTA HEIGHTS, MN 55118
Dakota County (651) 455-6873

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 Paul R Wild Dds PA's NPI number?

The NPI number for Paul R Wild Dds PA is 1871155788. It was assigned to this organization in the NPPES registry on July 1, 2019.

Where is Paul R Wild Dds PA located?

Paul R Wild Dds PA is located at 750 Main St Suite 215, Mendota Heights, MN 55118. The listed phone number is (651) 452-0261.

What is Paul R Wild Dds PA'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 Paul R Wild Dds PA was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.