WILSONVILLE SMILES DENTISTRY
NPI 1346516192
Dentist - General Practice in Wilsonville, OR

Active since March 27, 2012CLIA 38D2336232 · Waiver
30040 SW BOONES FERRY ROAD, SUITE 20, WILSONVILLE, OR 97070(505) 682-4500(505) 682-4900 Get Directions Write a Review

NPPES record last updated: December 31, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wilsonville Smiles Dentistry NPPES

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

WILSONVILLE SMILES DENTISTRY (NPI 1346516192) is a healthcare organization registered as a general practice in Wilsonville, Oregon and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through December 28, 2027 and lists Richard I Ashton Ii, Owner, as its authorized official.

NPPES Registry Identity

NPI1346516192
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWILSONVILLE SMILES PC
Location Address30040 SW BOONES FERRY ROAD, SUITE 20Wilsonville, OR 97070
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495
Fax(505) 682-4900
Organization SubpartNo
Authorized OfficialRichard I Ashton IiOwner · (503) 682-4500
Enumeration DateMarch 27, 2012
Last NPPES UpdateDecember 31, 2013
NPI 1346516192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
30040 SW BOONES FERRY ROAD, Wilsonville, OR 97070

Other Names 1

Doing Business AsWilsonville Smiles Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2336232

Wilsonville Smiles Dentistry · Wilsonville, OR
Active · expires Dec 28, 2027
CLIA Number38D2336232
Laboratory TypePractitioner Other
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorPhing L. Park
Laboratory Phone(503) 682-4500
Laboratory LocationWilsonville Smiles Dentistry30040 SW Boones Ferry Rd Ste 20, Wilsonville, OR 97070
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Wilsonville Smiles PC's NPI number?

The NPI number for Wilsonville Smiles PC is 1346516192. It was assigned to this organization in the NPPES registry on March 27, 2012. The provider is doing business as Wilsonville Smiles Dentistry.

Where is Wilsonville Smiles PC located?

Wilsonville Smiles PC is located at 30040 SW Boones Ferry Road Suite 20, Wilsonville, OR 97070. The listed phone number is (505) 682-4500.

What is Wilsonville Smiles PC's specialty?

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

Does Wilsonville Smiles PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2336232) is associated with this NPI, valid through December 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wilsonville Smiles PC accept?

Health plans from Humana list Wilsonville Smiles PC 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 Wilsonville Smiles PC was last updated on December 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.