Doctor profile · Federal record
Dr. Justin Wild, D.D.S.
Orthodontics and Dentofacial Orthopedic Dentist · Eden Prairie, MN
- NPI 1043500648
- 15 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
11800 Singletree Ln
Eden Prairie, MN 553445328
(952) 237-8619 - Mailing address
-
9651 Wyoming Ter S
Bloomington, MN 554381606
Credentials & registration
- NPI registered
- April 2011 — 15 yrs on file
- Profile last updated
- December 23, 2025
- Specialty taxonomy
- 1223X0400X — NUCC code
- State license (1)
- Minnesota #D13192
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1043500648. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$40
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona Inc | 1 | $24.88 | |
| Envista Holdings Corporation | 1 | $14.73 |
By nature of payment
Frequently asked questions
What is Dr. Justin Wild's medical specialty?
Dr. Justin Wild practices Orthodontics and Dentofacial Orthopedic Dentist in Eden Prairie, MN.
Where does Dr. Justin Wild practice?
Dr. Justin Wild practices at 11800 Singletree Ln, Eden Prairie, MN 553445328. Office phone: 9522378619.
What is Dr. Justin Wild's NPI?
Dr. Justin Wild's National Provider Identifier (NPI) is 1043500648, issued by NPPES.