Organization · Type 2 NPI
John D Wildgen DDS PC
General Practice Dentistry · Laurie, MO
NPI number
1831208594
Active
Practice location
128 S Main Street
Laurie, MO 65038-1083
Fax (573) 374-8901
Mailing address
PO Box 1083
Laurie, MO 65038-1083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 0133788 (MO) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
About NPI 1831208594
John D Wildgen DDS PC's National Provider Identifier is 1831208594, issued on Aug 29, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Laurie, MO. The record was last updated on Dec 17, 2007.