Daniel Edwin Wilson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009284 Issued in WA

Practice address

16703 SE McGillivray Blvd Ste 100
Vancouver, WA 98683-3418

Phone

(360) 892-2994

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Dan E. Wilson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daniel E. Wilson, DMD PC

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1669973160
  NPD (past) Authorized official
• Aadland, McKay & Ostenson, PLLC

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1215380688
  NPD (past)
• Jay K Langsdorf, D.M.D. PS

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1922146042
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992820328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NW 44TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986074309",
            "telephone_number": "360-314-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16703 SE MCGILLIVRAY BLVD STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833418",
            "telephone_number": "360-892-2994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2702 NE 78th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986650664",
            "country_code": "US",
            "telephone_number": "360-573-6047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Pendleton Way",
            "address_purpose": "LOCATION",
            "city": "Washougal",
            "state": "WA",
            "postal_code": "986714203",
            "country_code": "US",
            "telephone_number": "360-835-3738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DANIEL",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009284",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAN",
            "last_name": "WILSON",
            "middle_name": "E.",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Austin G Wilson, CNM
• Brian Lee Wilson, LMP
• Brianne Wilson, CCC-SLP
• Brittany Wilson, RDH
• Cheryl Wilson
• David A Wilson
• Deborah Ann Wilson, MA CCCSP
• Deonna Wilson, CG
• Donna Carole Wilson, RDH
• F Douglas Wilson, DC

• General Practice Dentistry in Vancouver, WA
• Providers in Vancouver, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.