John D. Wildgen, DDSPC
General Practice Dentistry · Laurie, MO
Practice location
128 South Main StreetLaurie, MO 65038
- Phone
- (573) 374-5739
- Fax
- (573) 374-8901
NPI record
- NPI
- 1922282995
- Entity type
- Individual (Type 1)
- Enumeration date
- December 26, 2007
- Last updated
- December 26, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
013788 | MO |
Mailing address
128 South Main StreetP.O. Box 1083
Laurie, MO 65038
- Phone
- (573) 374-5739
- Fax
- (573) 374-8901
About John Wildgen
John D. Wildgen, DDSPC is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 128 South Main Street, Laurie, MO 65038. The NPI number 1922282995 was assigned on December 26, 2007 and the record was last updated on December 26, 2007.
John Wildgen lists a license in the registry: #013788 (MO) 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 John D. Wildgen, DDSPC?
The NPI number is 1922282995.
What is the phone number of John Wildgen?
The phone number listed for the practice location is (573) 374-5739.
Where is John Wildgen located?
128 South Main Street, Laurie, MO 65038.
What is the taxonomy code for John Wildgen?
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 DDS PC128 S Main Street