Individual provider · Type 1 NPI
John D. Wildgen, DDSPC
General Practice Dentistry · Laurie, MO
NPI number
1922282995
Active
Practice location
128 South Main Street
Laurie, MO 65038
Fax (573) 374-8901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 013788 (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 1922282995
John D. Wildgen, DDSPC's National Provider Identifier is 1922282995, issued on Dec 26, 2007. 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 26, 2007.