Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

John Wilson DDS, PLLC

Organization Dentist · NPI 1184006074

John Wilson DDS, PLLC provides Dentist services in Sandpoint, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2005 Pine St
Sandpoint, ID 83864-9327
Phone: (509) 949-8147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D-4649 (ID)

Record details

NPI number1184006074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Wilson — Owner · (208) 263-8535
Other names Pine Street Dental
NPI enumeratedJune 26, 2015
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address2005 Pine St, Sandpoint, ID 83864-9327

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