Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205182003 Individual Practitioner Male Practitioner

Dr. John Joseph Wilson , DDS

Dentist • Sandpoint, ID

Professional Overview & Biography Verified Profile Summary

Dr. John Wilson, DDS is a registered healthcare professional specializing in Dentist in Sandpoint, ID. Practice services are available at 2005 PINE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2005 Pine St

Sandpoint, ID 838649327

Telephone 2082638535
Fax 2082652365
Associated Practice Facility / Clinic
🏢 John Wilson Dds, Pllc Facility NPI 1184006074

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Sandpoint, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Sandpoint, ID (448 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-02
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ID D-4649

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License WA DE60289676

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Ronald Forsberg , DDS PA

Dentist - General Practice

NPI 1164520540

DDSPA

Dr. Philip Gervais , DDS

Dentist - General Practice

NPI 1760576920

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2025

Dentist (License #DE60289676 in WA)

NPI Profile Active September 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2015

Registered at 2005 PINE ST, SANDPOINT, ID 838649327 (Tel: 2082638535)

📍
Updated Business Mailing Address September 21, 2015

Registered at 2005 PINE ST, SANDPOINT, ID 838649327 (Tel: 2082638535)

👤
Provider Name / Credentials Updated September 21, 2015

Recorded as JOHN WILSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2015

Dentist (License #D-4649 in ID)

🟢
Initial NPI Registration & Enumeration July 30, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205182003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2012
Last Update: June 02, 2025
Sole Proprietor: No

Mailing Address

2005 Pine St

Sandpoint, ID 838649327

Phone: 2082638535

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.