Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346351525 Individual Practitioner Male Practitioner

Dr. Dan R Wilson , DDS

Dentist - General Practice • Pomeroy, WA

Professional Overview & Biography Verified Profile Summary

Dr. Dan Wilson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pomeroy, WA. Practice services are available at 813 1/2 COLUMBIA STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

813 1/2 Columbia Street
813 1/2 Columbia #99

Pomeroy, WA 99347

Telephone 5098343495
Fax 5098433496

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pomeroy, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Pomeroy, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D1862

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WA 5974

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2074241 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1861546038

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 06, 2019

Registered at 813 1/2 COLUMBIA STREET, 813 1/2 COLUMBIA #99, POMEROY, WA 99347 (Tel: 5098343495)

📍
Updated Business Mailing Address March 06, 2019

Registered at PO BOX 99, POMEROY, WA 993470099 (Tel: 5098433495)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 638 BRYDEN AVE, LEWISTON, ID 83501 (Tel: 2087435032)

📍
Updated Business Mailing Address July 08, 2007

Registered at 638 BRYDEN AVE, LEWISTON, ID 83501 (Tel: 2087435032)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAN WILSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D1862 in ID)

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346351525
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: March 06, 2019
Sole Proprietor: No

Mailing Address

Po Box 99

Pomeroy, WA 993470099

Phone: 5098433495

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.