Dan R Wilson DDS PC
Dan R Wilson DDS PC is a Dental Clinic/Center in Lewiston, Idaho. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
638 Bryden AveLewiston, ID 83501-5169
Phone: (208) 743-5032
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1578304432 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mercedes Figueroa — Credentialing Specialist · (623) 289-3392 |
| NPI enumerated | June 4, 2024 |
| Last updated in NPPES | June 4, 2024 |
| Certification date | June 4, 2024 |
| Mailing address | 19601 N Black Canyon Hwy # 201, Phoenix, AZ 85027-4107 |
Other providers in Lewiston
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Perio Docs - Lewiston PLLC
3323 4th St, Lewiston, ID 83501-4423 · (208) 743-1114
-
Two Rivers Family Dentistry
937 Bryden Ave, Lewiston, ID 83501 · (208) 746-2668