OrganizationActive
John Wilson DDS, PLLC
NPI 1184006074 · Dentist · Sandpoint, ID
John Wilson DDS, PLLC is a Dentist organization in Sandpoint, ID (NPI 1184006074).
Provider details
- NPI number
- 1184006074
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- John Wilson, Owner(208) 263-8535
- License
- D-4649 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2005 Pine St
Sandpoint, ID 83864-9327
Phone: (509) 949-8147
Street-level locationGet directions
Mailing address
2005 Pine St
Sandpoint, ID 83864-9327
Other names (DBA / former)
- Doing business as
- Pine Street Dental
Registry dates
- Enumerated
- 2015-06-26
- Last updated
- 2025-09-19
- Certified
- 2025-09-19
Frequently asked questions
- What is John Wilson DDS, PLLC's NPI number?
- John Wilson DDS, PLLC's National Provider Identifier (NPI) is 1184006074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is John Wilson DDS, PLLC?
- John Wilson DDS, PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is John Wilson DDS, PLLC located?
- John Wilson DDS, PLLC's practice location on file with NPPES is 2005 Pine St, Sandpoint, ID 83864-9327.
- What is John Wilson DDS, PLLC's phone number?
- The practice phone number listed in the NPPES registry for John Wilson DDS, PLLC is (509) 949-8147.
- Who is the authorized official for John Wilson DDS, PLLC?
- The authorized official listed on John Wilson DDS, PLLC's NPPES record is John Wilson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is John Wilson DDS, PLLC's NPI active?
- Yes — John Wilson DDS, PLLC's NPI (1184006074) is active in the NPPES registry as of the last update on 2025-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.