David Lawrence Wilson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7743 Issued in OR

Practice address

14300 SW Pacific Hwy
Tigard, OR 97224-3665

Phone

(503) 639-4330

Fax

(503) 639-5400

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689614331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243665",
            "telephone_number": "503-639-4330",
            "fax_number": "503-639-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243665",
            "telephone_number": "503-639-4330",
            "fax_number": "503-639-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Cabot Willis, PH.D.
• Samuel James Wilmarth
• Alisa Michelle Wilson-Coleman
• Alex Reed Wilson
• Brittany Wilson
• Juan Wilson
• Keith Wilson
• Kirstin Beal Wilson, ND, ATC
• Michael Wilson, MA COUNSELING
• Robert Joseph Wilson, MD

• General Practice Dentistry in Tigard, OR
• Providers in Tigard, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.