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KELLEY STEWART WILSON DMD
NPI 1942224332
Dentist - General Practice in Portland, OR

Active since July 27, 2006
5025 SE 28TH AVE, PORTLAND, OR 97202(503) 238-4418(503) 238-0360 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley Stewart Wilson Dmd NPPES

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

KELLEY STEWART WILSON DMD (NPI 1942224332) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D7960) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1942224332
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKELLEY STEWART WILSONCredential: DMD
Location Address5025 SE 28TH AVEPortland, OR 97202-4445
Mailing Address19075 Nw Tanasbourne Dr. #300, Sunset Dental OfficeHillboro, OR 97124 · (503) 531-1700 · Fax (503) 531-1704
Phone(503) 238-4418
Fax(503) 238-0360
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateSeptember 7, 2011
✔ NPI 1942224332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D7960
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.
Also ListedDentistTaxonomy 122300000X · License D7960 (OR)
5025 SE 28TH AVE, Portland, OR 97202
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Other Names 1

Former Name (1)Kelley Yvonne Stewart Dmd

Other Providers at the Same Location NPPES 20

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

GWENDOLYN EVE POLLAN EFDA
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
KAISER DENTAL
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
SUSAN MARIE ADAMS EFDA, CDA
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
MS. JACQUELINE REE FARLINGER-KING RDH
Dental Hygienist
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
GLENDA K LORIMOR EFDA
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
TIANA LYNN DWAN
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
MS. JULIA MARIE LYNCH RDH
Dental Hygienist
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
SARAH BACHMAN EFDA
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418

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 Kelley Wilson's NPI number?

The NPI number for Kelley Wilson is 1942224332. It was assigned to this individual provider in the NPPES registry on July 27, 2006. The provider is also known as Kelley Yvonne Stewart Dmd.

Where is Kelley Wilson located?

Kelley Wilson practices at 5025 SE 28th Ave, Portland, OR 97202. The listed phone number is (503) 238-4418.

What is Kelley Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelley Wilson was last updated on September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.