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Andrew Wilson, DDS — NPI 1720655772, Rapid City, SD | NPI Central

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Andrew Wilson, DDS

NPI 1720655772 · Pediatric Dentistry · Rapid City, SD

Provider details

NPI number: 1720655772
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 7705 (NE)

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense D1348 (SD)
Dental Providers
Dentist122300000XLicense 7705 (NE)
Dental Providers
Pediatric Dentistry1223P0221XLicense 7705 (NE)
Dental Providers

Practice location

700 Sheridan Lake Rd

Rapid City, SD 57702-2407

Phone: (605) 341-3068

Fax: (605) 341-5757

Approximate (ZIP-level) locationGet directions

More SD providers

Mailing address

700 Sheridan Lake Rd

Rapid City, SD 57702-2407

Additional practice locations (1)

8200 Dodge St
Omaha, NE 68114-4113
Phone: (605) 484-9421

Registry dates

Enumerated: 2021-06-08
Last updated: 2023-08-04
Certified: 2023-08-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.