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JOHN WILSON DDS, PLLC
NPI 1184006074
Dentist in Sandpoint, ID

Active since June 26, 2015
2005 PINE ST, SANDPOINT, ID 83864(509) 949-8147 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Wilson Dds, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN WILSON DDS, PLLC (NPI 1184006074), doing business as Pine Street Dental, is a healthcare organization registered as a dentist in Sandpoint, Idaho and active in the NPI registry since June 2015. The organization lists John Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1184006074
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJOHN WILSON DDS, PLLC
Location Address2005 PINE STSandpoint, ID 83864-9327
Mailing Address2005 Pine StSandpoint, ID 83864-9327
Phone(509) 949-8147
Organization SubpartNo
Authorized OfficialJohn WilsonOwner · (208) 263-8535
Enumeration DateJune 26, 2015
Last NPPES UpdateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
✔ NPI 1184006074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · D-4649
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2005 PINE ST, Sandpoint, ID 83864
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Other Names 1

Doing Business AsPine Street Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONALD W FORSBERG DDS PA
Dentist (General Practice)
2005 PINE ST
SANDPOINT, ID 83864
Bonner County (208) 265-4115
DR. JOHN JOSEPH WILSON DDS
Dentist
2005 PINE ST
SANDPOINT, ID 83864
Bonner County (208) 263-8535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Wilson Dds, PLLC's NPI number?

The NPI number for John Wilson Dds, PLLC is 1184006074. It was assigned to this organization in the NPPES registry on June 26, 2015. The provider is doing business as Pine Street Dental.

Where is John Wilson Dds, PLLC located?

John Wilson Dds, PLLC is located at 2005 Pine St, Sandpoint, ID 83864. The listed phone number is (509) 949-8147.

What is John Wilson Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for John Wilson Dds, PLLC was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.