Individual provider · Type 1 NPI

Desy P. Wilson, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Grants Pass, OR

NPI number 1134524465 Active

Practice location

859 NE 7th St
Grants Pass, OR 97526-1634

Fax (541) 476-1038

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD9823 (OR)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1134524465

Desy P. Wilson, DDS, MS's National Provider Identifier is 1134524465, issued on Oct 29, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Grants Pass, OR. The record was last updated on Oct 29, 2014.