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

Nicholas Jon Wilsdorf, DDS

Individual provider Dentist · NPI 1679258263

Nicholas Jon Wilsdorf, DDS is a Dentist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2023
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.

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Practice location Address checks out

2653 Locust St
Saint Louis, MO 63103-1411
Phone: (314) 645-6451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2023023194 (MO)

Record details

NPI number1679258263
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 20, 2023
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing address818 Oak Knoll Rd, Rolla, MO 65401-4714

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