Organization · Type 2 NPI
Desy P Wilson DDS MS PC
Orthodontics and Dentofacial Orthopedics Dentistry · Grants Pass, OR
Practice location
859 NE 7th St
Grants Pass, OR 97526-1634
Mailing address
2073 SW Park Ave Apt 221
Portland, OR 97201-3121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | None listed |
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…
3 other providers at this address
About NPI 1588007264
Desy P Wilson DDS MS PC's National Provider Identifier is 1588007264, issued on Apr 11, 2013. 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 Apr 11, 2013.