John D Wildgen DDS PC
John D Wildgen DDS PC provides General Practice Dentistry in Laurie, Missouri. Licensed in Missouri. Registered with an NPI since 2006.
- Licensed in
- MO
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
128 S Main StLaurie, MO 65038-1083 Not confirmed with CMS for 18 years — call before visiting
Phone: (573) 374-5739
Fax: (573) 374-8901
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 0133788 (MO) |
|---|
Record details
| NPI number | 1831208594 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Wildgen — President · (573) 374-5739 |
| NPI enumerated | August 29, 2006 |
| Last updated in NPPES | December 17, 2007 |
| Mailing address | Po Box 1083, Laurie, MO 65038-1083 |
Other providers in Laurie
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Dr. John D Wildgen, DDSPC
128 S Main St, Laurie, MO 65038 · (573) 374-5739