IndividualActive
Jack Wilson, D.D.S.
NPI 1497949929 · Orthodontics and Dentofacial Orthopedics Dentistry · Sioux Falls, SD
Provider details
- NPI number
- 1497949929
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- M470 (SD)
Practice location
1721 S Cleveland Ave
Suite 100
Sioux Falls, SD 57103-5501
Phone: (605) 978-9000
Fax: (605) 978-9009
Mailing address
1721 S Cleveland Ave
Sioux Falls, SD 57103-5501
Registry dates
- Enumerated
- 2007-08-28
- Last updated
- 2012-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.