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Search › Missouri › General Practice Dentistry

John Wildgen, DDSPC

NPI 1922282995 · on the registry since 2007 · sole proprietor

Practice

Address
128 South Main Street
Laurie, MO 65038
Phone
(573) 374-5739
Fax
(573) 374-8901
Organisation at this address
John D Wildgen Dds Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-12-26

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 Missouri