David L. Wilson, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7743 Issued in OR

Legal business name

DAVID L. WILSON, DMD, PC

Practice address

14300 SW Pacific Hwy
Tigard, OR 97224-3790

Phone

(503) 639-4330

Fax

(503) 639-5400

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David L Wilson, DMD

Title

Owner

Phone

(503) 639-4330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740486604",
    "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": "972243790",
            "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": "972243790",
            "telephone_number": "503-639-4330",
            "fax_number": "503-639-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. WILSON, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-639-4330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Danielson, LMT
• Tarrance Dayshun Darden
• Kevin Dean Darnell I, LMT
• Torrey Dasmann
• Delaney Daugherty
• David Streiff DMD PC
• Tasha Davidson
• Lisa Davila, MSW, LCSW
• Angela Jean Davis, LMT
• Chelsea Grajeda Davis, LMT

• 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 Aug 22, 2020; 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.