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DR. ANDREW ROBERT WILSON DDS
NPI 1720655772
Dentist - Pediatric Dentistry in Rapid City, SD

Active since June 08, 2021
700 SHERIDAN LAKE RD, RAPID CITY, SD 57702(605) 341-3068(605) 341-5757 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Andrew Robert Wilson Dds NPPES

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

DR. ANDREW ROBERT WILSON DDS (NPI 1720655772) is an individual pediatric dentistry provider in Rapid City, South Dakota, licensed in South Dakota (D1348) and active in the NPI registry since June 2021. He maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1720655772
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. ANDREW ROBERT WILSONCredential: DDS
Location Address700 SHERIDAN LAKE RDRapid City, SD 57702-2407
Mailing Address700 Sheridan Lake RdRapid City, SD 57702-2407
Phone(605) 341-3068
Fax(605) 341-5757
Sole ProprietorNo
Enumeration DateJune 8, 2021
Last NPPES UpdateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
✔ NPI 1720655772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in SD · D1348✔ Licensed in NE · 7705
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 7705 (NE)
700 SHERIDAN LAKE RD, Rapid City, SD 57702
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Secondary Practice Location 1

Location 18200 Dodge StOmaha, NE 68114-4113 · Phone (605) 484-9421

Other Providers at the Same Location NPPES 8

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

BRENT J. BRADLEY D.D.S
Dentist (Pediatric Dentistry)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
BLACK HILLS PEDIATRIC DENTISTRY
Dentist (Pediatric Dentistry)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. THOMAS A SCHMANSKI DDS
Dentist (General Practice)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. CRAIG R. COOKSLEY DDS
Dentist (Pediatric Dentistry)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. JEFFREY PAUL GODBER D.D.S.
Dentist (General Practice)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
BLACK HILLS PEDIATRIC DENTISTRY
Community Health Worker
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. KARLI M WILLIAMS D.D.S.
Dentist (Pediatric Dentistry)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. KELLI J JOBMAN DDS
Dentist (Pediatric Dentistry)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068

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 Andrew Wilson's NPI number?

The NPI number for Andrew Wilson is 1720655772. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Andrew Wilson located?

Andrew Wilson practices at 700 Sheridan Lake Rd, Rapid City, SD 57702. The listed phone number is (605) 341-3068.

What is Andrew Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Andrew Wilson was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.