DR. JACK L WILSON D.D.S.
NPI 1497949929
Dentist - Orthodontics and Dentofacial Orthopedics in Sioux Falls, SD

Active since August 28, 2007
1721 S CLEVELAND AVE, SUITE 100, SIOUX FALLS, SD 57103(605) 978-9000(605) 978-9009 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jack L Wilson D.d.s. NPPES

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

DR. JACK L WILSON D.D.S. (NPI 1497949929) is an individual orthodontics and dentofacial orthopedics provider in Sioux Falls, South Dakota, licensed in South Dakota (M470) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1497949929
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. JACK L WILSONCredential: D.D.S.
Location Address1721 S CLEVELAND AVE, SUITE 100Sioux Falls, SD 57103-5501
Mailing Address1721 S Cleveland Ave, Suite 100Sioux Falls, SD 57103-5501 · (605) 978-9000 · Fax (605) 978-9009
Fax(605) 978-9009
Sole ProprietorNo
Enumeration DateAugust 28, 2007
Last NPPES UpdateMarch 6, 2012
NPI 1497949929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in SD · M470
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1721 S CLEVELAND AVE, Sioux Falls, SD 57103

Other Providers at the Same Location NPPES 5

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

Physical Therapist
1721 S CLEVELAND AVE, 200
SIOUX FALLS, SD 57103
Physical Therapist
1721 S CLEVELAND AVE, SUITE 200
SIOUX FALLS, SD 57103
Physical Therapist
1721 S CLEVELAND AVE, SUITE 200
SIOUX FALLS, SD 57103
Physical Therapist
1721 S CLEVELAND AVE, SUITE 200
SIOUX FALLS, SD 57103
Physical Therapist
1721 S CLEVELAND AVE, SUITE 200
SIOUX FALLS, SD 57103

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 Jack Wilson's NPI number?

The NPI number for Jack Wilson is 1497949929. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Jack Wilson located?

Jack Wilson practices at 1721 S Cleveland Ave Suite 100, Sioux Falls, SD 57103. The listed phone number is (605) 978-9000.

What is Jack Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Jack Wilson was last updated on March 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.