OrganizationActive
Dan R Wilson DDS PC
NPI 1578304432 · Dental Clinic/Center · Lewiston, ID
Dan R Wilson DDS PC is a Dental Clinic/Center organization in Lewiston, ID (NPI 1578304432).
Provider details
- NPI number
- 1578304432
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mercedes Figueroa, Credentialing Specialist(623) 289-3392
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
638 Bryden Ave
Lewiston, ID 83501-5169
Phone: (208) 743-5032
Street-level locationGet directions
Mailing address
19601 N Black Canyon Hwy # 201
Phoenix, AZ 85027-4107
Registry dates
- Enumerated
- 2024-06-04
- Last updated
- 2024-06-04
- Certified
- 2024-06-04
Frequently asked questions
- What is Dan R Wilson DDS PC's NPI number?
- Dan R Wilson DDS PC's National Provider Identifier (NPI) is 1578304432, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dan R Wilson DDS PC?
- Dan R Wilson DDS PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dan R Wilson DDS PC located?
- Dan R Wilson DDS PC's practice location on file with NPPES is 638 Bryden Ave, Lewiston, ID 83501-5169.
- What is Dan R Wilson DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Dan R Wilson DDS PC is (208) 743-5032.
- Who is the authorized official for Dan R Wilson DDS PC?
- The authorized official listed on Dan R Wilson DDS PC's NPPES record is Mercedes Figueroa, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dan R Wilson DDS PC's NPI active?
- Yes — Dan R Wilson DDS PC's NPI (1578304432) is active in the NPPES registry as of the last update on 2024-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.