Justin R. Wild, D.D.S.
Orthodontics · Eden Prairie, MN
UnclaimedD.D.S.NPI 1043500648
- Primary taxonomy
- 1223X0400X
- Enumerated
- 2011-04-15
- Practice location
- Eden Prairie, MN
- Last NPPES update
- 2025-12-23
State licenses
- MN · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.