KAROLE H WILSON D.M.D. PC NPI 1902827199

NPI Information

KAROLE H WILSON D.M.D., PC is a pediatric dentistry dentist in Portland, OR. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. KAROLE H WILSON D.M.D., PC NPI is 1902827199. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9370 SW GREENBURG RD STE T
PORTLAND, OR
ZIP 97223-408
Phone: (503) 245-1915
Fax: (503) 245-5956

The provider's authorized official is Karole H Wilson .
The authorized official title is Doctor and has the following contact phone number (503) 245-1915.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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