Wilson, Jack L

Wilson, Jack L is an individual health care provider with primary practice located at 1721 S Cleveland Ave Suite 100, Sioux Falls SD 57103-5501. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Wilson, Jack L can be contacted via phone (605) 978-9000.

Contact Information

Primary practice address
1721 S Cleveland Ave Suite 100 Sioux Falls SD 57103-5501
Phone: (605) 978-9000
Fax: (605) 978-9009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X M470 South Dakota

Profile Details

NPI number 1497949929
LBN Legal business name Wilson, Jack L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Mar 6th, 2012 - about 13 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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