IndividualActive
Clinton Wilson, DDS
NPI 1457976193 · Dentist · Sioux Falls, SD
Provider details
- NPI number
- 1457976193
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- D1262 (SD)
Specialties & taxonomies
Dental Providers
Practice location
6301 W 41st St
Sioux Falls, SD 57106-1217
Phone: (605) 305-4141
Approximate (ZIP-level) locationGet directions
Mailing address
6301 W 41st St
Sioux Falls, SD 57106-1217
Registry dates
- Enumerated
- 2020-06-09
- Last updated
- 2020-06-09
- Certified
- 2020-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.