Peter Ray Wildman, DDS

General Practice Dentistry · Stickney, IL

Individual Active NPI

NPI number 1740303585

Practice location

3905 South Oak Park Ave
Stickney, IL 60402-4169
Phone
(708) 749-2040
Fax
(708) 749-9843

Open in Google Maps

NPI record

NPI
1740303585
Entity type
Individual (Type 1)
Enumeration date
April 9, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

About Dr. Wildman

Peter Ray Wildman, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3905 South Oak Park Ave, Stickney, IL 60402-4169. The NPI number 1740303585 was assigned on April 9, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Peter Ray Wildman, DDS?

The NPI number is 1740303585.

What is the phone number of Dr. Wildman?

The phone number listed for the practice location is (708) 749-2040.

Where is Dr. Wildman located?

3905 South Oak Park Ave, Stickney, IL 60402-4169.

What is the taxonomy code for Dr. Wildman?

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.

Other General Practice Dentistry providers in Stickney

All General Practice Dentistry providers in Stickney, IL →