John D Wildgen DDS PC
General Practice Dentistry · Laurie, MO
Practice location
128 S Main StreetLaurie, MO 65038-1083
- Phone
- (573) 374-5739
- Fax
- (573) 374-8901
NPI record
- NPI
- 1831208594
- Entity type
- Organization (Type 2)
- Enumeration date
- August 29, 2006
- Last updated
- December 17, 2007
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
0133788 | MO |
Mailing address
PO Box 1083Laurie, MO 65038-1083
- Phone
- (573) 374-5739
- Fax
- (573) 374-8901
Authorized official
- Name
- Dr. John D Wildgen, DDS
- Title
- President
- Phone
- (573) 374-5739
About John D Wildgen DDS PC
John D Wildgen DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 128 S Main Street, Laurie, MO 65038-1083. The NPI number 1831208594 was assigned on August 29, 2006 and the record was last updated on December 17, 2007.
John D Wildgen DDS PC lists a license in the registry: #0133788 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. John D Wildgen, DDS, President.
Frequently asked questions
What is the NPI number of John D Wildgen DDS PC?
The NPI number is 1831208594.
What is the phone number of John D Wildgen DDS PC?
The phone number listed for the practice location is (573) 374-5739.
Where is John D Wildgen DDS PC located?
128 S Main Street, Laurie, MO 65038-1083.
What is the taxonomy code for John D Wildgen DDS PC?
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 Laurie
- John D. Wildgen, DDSPC128 South Main Street