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DR. ANDREW ROBERT WILSON DDS NPI 1720655772


NPI Information

NPI: 1720655772
Provider Name: DR. ANDREW ROBERT WILSON, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
700 SHERIDAN LAKE RD
RAPID CITY, SD
ZIP 57702
Phone: (605) 341-3068
Get Directions

DR. Andrew Robert Wilson, DDS is a pediatric dentistry dentist in Rapid City, SD. The provider is 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. DR. Andrew Robert Wilson, DDS NPI is 1720655772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

700 SHERIDAN LAKE RD
RAPID CITY, SD
ZIP 57702-407
Phone: (605) 341-3068
Fax: (605) 341-5757

The enumeration date for this NPI number is 6/8/2021 and was last updated on 8/4/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist7705NEBRASKANo
21223P0221XDentistPediatric Dentistry7705NEBRASKANo
31223P0221XDentistPediatric DentistryD1348SOUTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.