NPI age
8 years
Enumerated 2018-03-08
● Active Type 2 · Organization
Wilson Dental Pllc
Wilson Dental Pllc is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilson
Dentist/ceo
Last NPPES update
2018-03-08
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
8 years
≈ at median (8 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-03Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
10497 W Garverdale Ct Ste 107
Boise, ID 837045468
Mailing address
10497 W Garverdale Ct Ste 107
Boise, ID 837045468
Authorized official
Gregg Andrew Wilson, DDS
Dentist/ceo
📞 2089060501
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807297400 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.