Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK L WILSON, D.D.S.

Active

DR. JACK L WILSON, D.D.S. is a Orthodontics healthcare provider located in SIOUX FALLS, South Dakota. NPI 1497949929 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · SIOUX FALLS, SD

Registration Details

NPI Number: 1497949929
Provider Type: Individual
Gender: Male
NPI Issued: Aug 28, 2007 (18.92028386177 yrs)
Last Updated: Mar 6, 2012
License: M470 (SD)

Practice Information

Address: 1721 S CLEVELAND AVE

SUITE 100

SIOUX FALLS, SD, 571035501
Browse SD providers · Browse ZIP 57103
Phone: 6059789000
Fax: 6059789009
Primary Specialty: Orthodontics
1223X0400X

Other Orthodontics Providers in SIOUX FALLS, SD

Name	Credential	NPI
DR. SCOTT WESLEY GIBSON	DDS	1205983343
DR. KEVIN DONALD HORNER	D.D.S.	1245382159
DR. DONALD A. DRAKE II	DDS,MSD	1093932923
DR. CHRISTOPHER PAUL WERMERSON	D.M.D.	1669602538
DR. COURTLAND MICHAEL DRAKE	DDS,MSD	1427362904
MRS. KERI ANN BARROW	DDS, MS	1689971475

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.