Justin Wild, D.D.S

NPI 1043500648 · on the registry since 2011

Practice

Address: 11800 Singletree Ln
Eden Prairie, MN 55344
Phone: (952) 237-8619
Organisation at this address: Karol, Pc
Talk Therapy
Shea Counseling Llc
Succeeding With Add
Gibson Psych Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 1223X0400X
1223X0400X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-12-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota