Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KIMBERLEE WILDMAN
NPI 1063324572
Dental Assistant in Vancouver, WA

Q: What is Kimberlee Wildman's NPI number?

The NPI number for Kimberlee Wildman is 1063324572. It was assigned to this individual provider in the NPPES registry on September 21, 2026.

Q: What is Kimberlee Wildman's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberlee Wildman was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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 September 21, 2026

10104 NE HAZEL DELL AVE, VANCOUVER, WA 98685(360) 907-3205 Get Directions Write a Review

NPPES record added: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Kimberlee Wildman NPPES

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

KIMBERLEE WILDMAN (NPI 1063324572) is an individual dental assistant in Vancouver, Washington, licensed in Washington (DEAS.D1.60799888) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1063324572

Entity TypeIndividual

Primary Taxonomy126800000X

Provider Legal NameKIMBERLEE WILDMAN

Location Address10104 NE HAZEL DELL AVEVancouver, WA 98685-5206

Mailing Address10104 Ne Hazel Dell AveVancouver, WA 98685-5206 · (360) 907-3205

Phone(360) 907-3205

Sole ProprietorNo

Enumeration DateSeptember 21, 2026

NPPES CertifiedSeptember 20, 2026

✔ NPI 1063324572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers

Taxonomy Code126800000X

License✔ Licensed in WA · DEAS.D1.60799888

Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

10104 NE HAZEL DELL AVE, Vancouver, WA 98685

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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 Kimberlee Wildman's NPI number?

The NPI number for Kimberlee Wildman is 1063324572. It was assigned to this individual provider in the NPPES registry on September 21, 2026.

Where is Kimberlee Wildman located?

Kimberlee Wildman practices at 10104 NE Hazel Dell Ave, Vancouver, WA 98685. The listed phone number is (360) 907-3205.

What is Kimberlee Wildman's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Kimberlee Wildman was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.