Individual provider · Type 1 NPI

Jack L. Wilson, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Sioux Falls, SD

NPI number 1497949929 Active

Practice location

1721 S Cleveland Ave, Suite 100
Sioux Falls, SD 57103-5501

Call (605) 978-9000 Map

Fax (605) 978-9009

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XM470 (SD)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1497949929

Jack L. Wilson, DDS's National Provider Identifier is 1497949929, issued on Aug 28, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Sioux Falls, SD. The record was last updated on Mar 6, 2012.