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WILSON DENTAL PLLC
NPI 1265935902
Clinic/Center - Dental in Boise, ID

Active since March 08, 2018
10497 W GARVERDALE CT STE 107, BOISE, ID 83704(208) 375-5720(208) 323-8538 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wilson Dental Pllc NPPES

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

WILSON DENTAL PLLC (NPI 1265935902) is a healthcare organization registered as a dental in Boise, Idaho and active in the NPI registry since March 2018. The organization lists Gregg Andrew Wilson, Dentist/ceo, as its authorized official.

NPPES Registry Identity

NPI1265935902
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWILSON DENTAL PLLC
Location Address10497 W GARVERDALE CT STE 107Boise, ID 83704-5468
Mailing Address10497 W Garverdale Ct Ste 107Boise, ID 83704-5468 · (208) 375-5720 · Fax (208) 323-8538
Phone(208) 375-5720
Fax(208) 323-8538
Organization SubpartNo
Authorized OfficialGregg Andrew WilsonDentist/ceo · (208) 906-0501
Enumeration DateMarch 8, 2018
✔ NPI 1265935902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in ID · D35345
10497 W GARVERDALE CT STE 107, Boise, ID 83704
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Other Identifiers 1

Medicaid807297400ID

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 Wilson Dental PLLC's NPI number?

The NPI number for Wilson Dental PLLC is 1265935902. It was assigned to this organization in the NPPES registry on March 8, 2018.

Where is Wilson Dental PLLC located?

Wilson Dental PLLC is located at 10497 W Garverdale Ct Ste 107, Boise, ID 83704. The listed phone number is (208) 375-5720.

What is Wilson Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Wilson Dental PLLC was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.