National Provider Identifier Database

DAN R WILSON, DDS – NPI #1346351525
General Practice

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.


Contact Information

DAN R WILSON, DDS
813 1/2 COLUMBIA STREET
813 1/2 COLUMBIA #99
POMEROY, WA99347
Phone: 509-834-3495
Fax: 509-843-3496
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for DAN R WILSON

NPI Number 1346351525
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/31/2006
Last updated 03/06/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • ID License #: D1862
  • WA License #: 5974
  • WA Medicaid: 2074241
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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