NPI 1003046731

Wilsonville Dental Group

Organisation General Practice Dentistry Wilsonville, OR

Practice location

Address: 29292 SW Town Center Loop E, Wilsonville, OR 97070-9491
Phone: (503) 682-0431
Fax: (503) 682-3873

Authorised official

Name: Joshua L Wieland
Title: Partner
Phone: (503) 682-0431

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D7842 (OR)

Other Dentist providers in Oregon →

Registry record

NPI: 1003046731
Entity type: Organization
NPI issued: 15 Jul 2009
Record last updated: 4 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.