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Dr. John D Wildgen, DDSPC
General Practice Dentistry in Laurie, Missouri
NPI 1922282995

John D Wildgen is a General Practice Dentistry based in Laurie, MO and is specialized in General Practice. John D Wildgen practices in Laurie, MO and has the professional credentials of DDSPC. The NPI Number for John D Wildgen is 1922282995 and holds a License No. 013788 (Missouri).

The current practice location address for John D Wildgen is 128 South Main Street, Laurie, MO and can be reached out via phone at 573-374-5739 and via fax at 573-374-8901.

Location: 128 South Main Street, Laurie, MO, 65038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922282995
Provider Name
John D Wildgen
Credential
DDSPC
Provider Entity Type
Individual
Gender
Male
Address
128 South Main Street, Laurie, MO, 65038
Phone Number
573-374-5739
Fax Number
573-374-8901
Provider Enumeration Date
12/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
128 South Main Street
City
Laurie
State
Missouri
Zip
65038
Phone Number
573-374-5739
Fax Number
573-374-8901
person
Provider Business Mailing Address Details
Address
128 South Main Street
City
Laurie
State
Missouri
Zip
65038
Phone Number
573-374-5739
Fax Number
573-374-8901
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
013788 (Missouri)
Definition
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.
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