Paul W. Wild, DDS

General Practice Dentistry · Mendota Heights, MN

Individual Active NPI

NPI number 1225145501

Practice location

750 Highway 110
Mendota Heights, MN 55120-1512
Phone
(651) 452-0261
Fax
(651) 452-6109

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NPI record

NPI
1225145501
Entity type
Individual (Type 1)
Enumeration date
August 24, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X MN 9490 MN

About Dr. Wild

Paul W. Wild, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 750 Highway 110, Mendota Heights, MN 55120-1512. The NPI number 1225145501 was assigned on August 24, 2006 and the record was last updated on July 8, 2007.

Dr. Wild lists a license in the registry: #MN 9490 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Paul W. Wild, DDS?

The NPI number is 1225145501.

What is the phone number of Dr. Wild?

The phone number listed for the practice location is (651) 452-0261.

Where is Dr. Wild located?

750 Highway 110, Mendota Heights, MN 55120-1512.

What is the taxonomy code for Dr. Wild?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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