IndividualActive
Robert Wightman
NPI 1952769697 · General Practice Dentistry · Cook, MN
Provider details
- NPI number
- 1952769697
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- D13787 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20 5th St Se
Cook, MN 55723-9702
Phone: (218) 666-5958
Street-level locationGet directions
Mailing address
20 5th St Se
Cook, MN 55723
Registry dates
- Enumerated
- 2016-02-09
- Last updated
- 2017-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.