Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Justin Richard Wild, DDS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1043500648

Dr. Justin Richard Wild, DDS is an Orthodontics and Dentofacial Orthopedics Dentistry in Eden Prairie, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

11800 Singletree Ln
Eden Prairie, MN 55344-5328
Phone: (952) 237-8619
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence D13192 (MN)

Record details

NPI number1043500648
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 15, 2011
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

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