DR. KORY J WILSON DDS
NPI 1053503995
Dentist - General Practice in Spokane Valley, WA

Q: What is Kory Wilson's NPI number?

The NPI number for Kory Wilson is 1053503995. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Q: What is Kory Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kory Wilson was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2007

12121 E BROADWAY AVE BLDG III, SPOKANE VALLEY, WA 99206(509) 928-3363 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Kory J Wilson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KORY J WILSON DDS (NPI 1053503995) is an individual general practice provider in Spokane Valley, Washington, licensed in Washington (DE00011053) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1053503995

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KORY J WILSONCredential: DDS

Location Address12121 E BROADWAY AVE BLDG IIISpokane Valley, WA 99206-4972

Mailing Address12121 E Broadway Ave Bldg IiiSpokane Valley, WA 99206-4972 · (509) 928-3363

Phone(509) 928-3363

Sole ProprietorNo

Enumeration DateAugust 14, 2007

✔ NPI 1053503995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · DE00011053

Definition

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.

12121 E BROADWAY AVE BLDG III, Spokane Valley, WA 99206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kory Wilson's NPI number?

The NPI number for Kory Wilson is 1053503995. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Kory Wilson located?

Kory Wilson practices at 12121 E Broadway Ave Bldg III, Spokane Valley, WA 99206. The listed phone number is (509) 928-3363.

What is Kory Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kory Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Kory Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kory Wilson was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.