Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922282995 Individual Practitioner Male Practitioner

John D Wildgen , DDSPC

Dentist - General Practice • Laurie, MO

Professional Overview & Biography Verified Profile Summary

John Wildgen, DDSPC is a registered healthcare professional specializing in Dentist - General Practice in Laurie, MO. Practice services are available at 128 SOUTH MAIN STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

128 South Main Street

Laurie, MO 65038

Telephone 5733745739
Fax 5733748901
Associated Practice Facility / Clinic
🏢 John D Wildgen Dds Pc Facility NPI 1831208594

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Laurie, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Laurie, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 013788

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 26, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2007

Registered at 128 SOUTH MAIN STREET, LAURIE, MO 65038 (Tel: 5733745739)

📍
Updated Business Mailing Address December 26, 2007

Registered at 128 SOUTH MAIN STREET, P.O. BOX 1083, LAURIE, MO 65038 (Tel: 5733745739)

👤
Provider Name / Credentials Updated December 26, 2007

Recorded as JOHN WILDGEN, DDSPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2007

Dentist (License #013788 in MO)

🟢
Initial NPI Registration & Enumeration December 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922282995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2007
Last Update: December 26, 2007
Sole Proprietor: Yes

Mailing Address

128 South Main Street, P.o. Box 1083

Laurie, MO 65038

Phone: 5733745739

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.