DR. Justin Richard Wild, D.D.S.
NPI #1043500648 in Eden Prairie, Minnesota
Provider Information
- NPI Number
- 1043500648
- Entity Type
- Individual
- Name
- DR. Justin Richard Wild, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- D.D.S.
- Enumeration Date
- Apr 15, 2011
- Last Updated
- Dec 23, 2025
Practice Location
- Address
- 11800 SINGLETREE LN
- City
- Eden Prairie
- State
- Minnesota
- ZIP Code
- 55344-5328
- Phone
- (952) 237-8619
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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