OrganizationActive
Wilson Dental PLLC
NPI 1265935902 · Dental Clinic/Center · Boise, ID
Wilson Dental PLLC is a Dental Clinic/Center organization in Boise, ID (NPI 1265935902).
Provider details
- NPI number
- 1265935902
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregg Wilson, Dentist/Ceo(208) 906-0501
- License
- D35345 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
10497 W Garverdale Ct Ste 107
Boise, ID 83704-5468
Phone: (208) 375-5720
Fax: (208) 323-8538
Street-level locationGet directions
Mailing address
10497 W Garverdale Ct Ste 107
Boise, ID 83704-5468
Registry dates
- Enumerated
- 2018-03-08
- Last updated
- 2018-03-08
Frequently asked questions
- What is Wilson Dental PLLC's NPI number?
- Wilson Dental PLLC's National Provider Identifier (NPI) is 1265935902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wilson Dental PLLC?
- Wilson Dental PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wilson Dental PLLC located?
- Wilson Dental PLLC's practice location on file with NPPES is 10497 W Garverdale Ct Ste 107, Boise, ID 83704-5468.
- What is Wilson Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wilson Dental PLLC is (208) 375-5720.
- Who is the authorized official for Wilson Dental PLLC?
- The authorized official listed on Wilson Dental PLLC's NPPES record is Gregg Wilson, Dentist/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wilson Dental PLLC's NPI active?
- Yes — Wilson Dental PLLC's NPI (1265935902) is active in the NPPES registry as of the last update on 2018-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.