SearchIdahoGeneral Practice Dentistry

John Wilson, D.M.D

NPI 1386717213 · on the registry since 2006

Practice

Address
10497 W Garverdale Ct
Suite 107
Boise, ID 83704
Phone
(208) 375-5720
Fax
(208) 323-8538
Organisation at this address
Wilson Dental Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho