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

Gregg A Wilson, DDS

Individual provider Dentist · NPI 1164516225

Gregg A Wilson, DDS is a Dentist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

10497 Garverdale Ct Ste 107
Boise, ID 83704
Phone: (208) 375-5720
Fax: (208) 323-8538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D3535 (ID)

Record details

NPI number1164516225
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007
Mailing address10497 Garverdale Court, Suite 107, Boise, ID 83704

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