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

Wilson Dental PLLC

Organization Dental Clinic/Center · NPI 1265935902

Wilson Dental PLLC is a Dental Clinic/Center in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2018.

Licensed in
ID
In the registry since
2018
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

10497 W Garverdale Ct Ste 107
Boise, ID 83704-5468
Phone: (208) 375-5720
Fax: (208) 323-8538
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D35345 (ID)

Record details

NPI number1265935902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregg Wilson — Dentist/Ceo · (208) 906-0501
NPI enumeratedMarch 8, 2018
Last updated in NPPESMarch 8, 2018
Mailing address10497 W Garverdale Ct Ste 107, Boise, ID 83704-5468

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