Individual provider · Type 1 NPI

Andrew Robert Wilson, DDS

Pediatric Dentistry · Rapid City, SD

NPI number 1720655772 Active

Practice location

700 Sheridan Lake Rd
Rapid City, SD 57702-2407

Call (605) 341-3068 Map

Fax (605) 341-5757

Other practice locations

  • 8200 Dodge St, Omaha, NE 68114-4113 · (605) 484-9421

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X7705 (NE)
Pediatric Dentistry 1223P0221X7705 (NE)
Pediatric Dentistry Primary 1223P0221XD1348 (SD)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

8 other providers at this address

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About NPI 1720655772

Andrew Robert Wilson, DDS's National Provider Identifier is 1720655772, issued on Jun 8, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Rapid City, SD. The record was last updated on Aug 4, 2023.