P Praxis·MD
● Active Type 2 · Organization

John Wilson Dds, Pllc

Dentist·Sandpoint, ID· NPI 1184006074 · Enumerated 2015 · 10 years on NPI
John Wilson Dds, Pllc is 1 of 591 dentist organizations in Idaho.
NPI age
10 years
Enumerated 2015-06-26
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilson
Owner
Last NPPES update
2025-09-19
Source: monthly bulk 2026-05

How this organization compares

Across 591 active dentist providers in Idaho.

NPI age
10 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-06Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
2005 Pine St
Sandpoint, ID 838649327
📞 5099498147
Mailing address
2005 Pine St
Sandpoint, ID 838649327

Authorized official

John Wilson
Owner
📞 2082638535

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    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...
    ID license #D-4649 taxonomy 122300000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Pine Street Dental
    Type code 3 recorded 2025-09-19

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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