Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Wilson DDS, PLLC

Organization Dentist · NPI 1184006074

John Wilson DDS, PLLC is a Dentist 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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