DR. DOUGLAS C WILSON DDS
NPI 1811071483
Dentist - Oral and Maxillofacial Surgery in Yakima, WA

Active since October 24, 2006
4207 TIETON DRIVE, YAKIMA, WA 98908(509) 965-8911(509) 965-6143 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas C Wilson Dds NPPES

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

DR. DOUGLAS C WILSON DDS (NPI 1811071483) is an individual oral and maxillofacial surgery provider in Yakima, Washington, licensed in Washington (4818) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1811071483
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DOUGLAS C WILSONCredential: DDS
Location Address4207 TIETON DRIVEYakima, WA 98908-3347
Mailing Address4207 Tieton DriveYakima, WA 98908-3347 · (509) 965-8911 · Fax (509) 965-6143
Fax(509) 965-6143
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1811071483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in WA · 4818
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4207 TIETON DRIVE, Yakima, WA 98908

Other Identifiers 1

Medicaid5504303WA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
4207 TIETON DRIVE
YAKIMA, WA 98908
Dentist (Oral and Maxillofacial Surgery)
4207 TIETON DRIVE
YAKIMA, WA 98908

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 Douglas Wilson's NPI number?

The NPI number for Douglas Wilson is 1811071483. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Douglas Wilson located?

Douglas Wilson practices at 4207 Tieton Drive, Yakima, WA 98908. The listed phone number is (509) 965-8911.

What is Douglas Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Douglas Wilson was last updated on July 8, 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.