Doctor profile · Federal record
Dr. Russell Wilson, DDS, MSD
Orthodontics and Dentofacial Orthopedic Dentist · Post Falls, ID
- NPI 1154109825
- 3 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
602 N Calgary CT Ste 302
Post Falls, ID 838544000
(208) 777-0500 - Additional location
-
215 W Canfield Ave
Coeur D Alene, ID 838157736
(208) 772-7272 - Mailing address
-
2349 W Bastien Loop
Coeur D Alene, ID 838157602
Credentials & registration
- NPI registered
- September 2023 — 3 yrs on file
- Profile last updated
- May 13, 2025
- Specialty taxonomy
- 1223X0400X — NUCC code
- State license (1)
- Idaho #D-5563-OR
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154109825. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| American Orthodontics Corporation | 1 | $20.04 |
By nature of payment
Frequently asked questions
What is Dr. Russell Wilson's medical specialty?
Dr. Russell Wilson practices Orthodontics and Dentofacial Orthopedic Dentist in Post Falls, ID.
Where does Dr. Russell Wilson practice?
Dr. Russell Wilson practices at 602 N Calgary CT Ste 302, Post Falls, ID 838544000. Office phone: 2087770500.
What is Dr. Russell Wilson's NPI?
Dr. Russell Wilson's National Provider Identifier (NPI) is 1154109825, issued by NPPES.