Doctor profile · Federal record

Dr. Andrew Wilson, DDS

Pediatric Dentist · Dentist · Pediatric Dentist · Rapid City, SD

  • NPI 1720655772
  • 5 yrs on file
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
700 Sheridan Lake RD
Rapid City, SD 577022407
(605) 341-3068
fax (605) 341-5757
Additional location
8200 Dodge St
Omaha, NE 681144113
(605) 484-9421

Credentials & registration

NPPES · NUCC
NPI registered
June 2021 — 5 yrs on file
Profile last updated
August 4, 2023
Specialty taxonomy
1223P0221X — NUCC code
State licenses (2)
South Dakota #D1348 · Nebraska #7705

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1720655772. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$62
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Ultradent Products Inc 1 $62.49

By nature of payment

Gift
$62

Frequently asked questions

Auto-generated from federal data
What is Dr. Andrew Wilson's medical specialty?
Dr. Andrew Wilson practices Pediatric Dentist in Rapid City, SD.
Where does Dr. Andrew Wilson practice?
Dr. Andrew Wilson practices at 700 Sheridan Lake RD, Rapid City, SD 577022407. Office phone: 6053413068.
What is Dr. Andrew Wilson's NPI?
Dr. Andrew Wilson's National Provider Identifier (NPI) is 1720655772, issued by NPPES.