Wilson, Andrew Robert

Wilson, Andrew Robert is an individual health care provider with primary practice located at 700 Sheridan Lake Rd , Rapid City SD 57702-2407. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Wilson, Andrew Robert can be contacted via phone (605) 341-3068.

Contact Information

Primary practice address
700 Sheridan Lake Rd Rapid City SD 57702-2407
Phone: (605) 341-3068
Fax: (605) 341-5757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7705 Nebraska
Dental Providers / Pediatric Dentistry 1223P0221X 7705 Nebraska
Dental Providers / Pediatric Dentistry 1223P0221X D1348 South Dakota

Profile Details

NPI number 1720655772
LBN Legal business name Wilson, Andrew Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2021
Last updated Aug 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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