Individual provider · Type 1 NPI

Kelley Stewart Wilson, DMD

General Practice Dentistry · Portland, OR

NPI number 1942224332 Active

Practice location

5025 SE 28th Ave
Portland, OR 97202-4445

Call (503) 238-4418 Map

Fax (503) 238-0360

Mailing address

19075 NW Tanasbourne Dr. #300, Sunset Dental Office
Hillboro, OR 97124

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XD7960 (OR)
General Practice Dentistry Primary 1223G0001XD7960 (OR)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1942224332

Kelley Stewart Wilson, DMD's National Provider Identifier is 1942224332, issued on Jul 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Sep 7, 2011.