Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John D Wildgen, DDSPC

Individual provider General Practice Dentistry · NPI 1922282995

Dr. John D Wildgen, DDSPC is a General Practice Dentistry in Laurie, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
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Practice location Address checks out

128 S Main St
Laurie, MO 65038
Phone: (573) 374-5739
Fax: (573) 374-8901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 013788 (MO)

Record details

NPI number1922282995
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSPC
Sole proprietorYes
NPI enumeratedDecember 26, 2007
Last updated in NPPESDecember 26, 2007

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