Kory J. Wilson, DDS

General Practice Dentistry · Spokane Valley, WA

Individual Active NPI

NPI number 1053503995

Practice location

12121 E Broadway Ave Bldg III
Spokane Valley, WA 99206-4972
Phone
(509) 928-3363

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NPI record

NPI
1053503995
Entity type
Individual (Type 1)
Enumeration date
August 14, 2007
Last updated
August 14, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE00011053 WA

About Dr. Wilson

Kory J. Wilson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 12121 E Broadway Ave Bldg III, Spokane Valley, WA 99206-4972. The NPI number 1053503995 was assigned on August 14, 2007 and the record was last updated on August 14, 2007.

Dr. Wilson lists a license in the registry: #DE00011053 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kory J. Wilson, DDS?

The NPI number is 1053503995.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (509) 928-3363.

Where is Dr. Wilson located?

12121 E Broadway Ave Bldg III, Spokane Valley, WA 99206-4972.

What is the taxonomy code for Dr. Wilson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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