Dr John D Wildgen, DDSPC is a
Dentist - General Practice based in Laurie, Missouri. Dr John D Wildgen is licensed to practice in Missouri (license number 013788) and his current practice location is
128 South Main Street, Laurie, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 374-5739.
NPI number for Dr John D Wildgen is 1922282995 and his current mailing address is 128 South Main Street, P.o. Box 1083, Laurie, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922282995.
Healthcare Provider's Profile
Full Name | Dr John D Wildgen |
---|
Gender | Male |
---|
Speciality | Dentist - General Practice |
---|
Location | 128 South Main Street, Laurie, Missouri |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922282995
- Provider Enumeration Date: 12/26/2007
- Last Update Date: 12/26/2007
Medical Identifiers
Medical identifiers for Dr John D Wildgen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922282995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 013788 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John D Wildgen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr John D Wildgen, DDSPC 128 South Main Street, P.o. Box 1083, Laurie, MO 65038 Ph: (573) 374-5739 | Dr John D Wildgen, DDSPC 128 South Main Street, Laurie, MO 65038 Ph: (573) 374-5739 |
Reviews and Comments