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Active NPI 1053503995 Individual Practitioner Male Practitioner

Dr. Kory J Wilson , DDS

Dentist - General Practice • Spokane Valley, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kory Wilson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Spokane Valley, WA. Practice services are available at 12121 E BROADWAY AVE BLDG III under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12121 E Broadway Ave Bldg Iii

Spokane Valley, WA 992064972

Telephone 5099283363
Associated Practice Facility / Clinic
🏢 Michael A Trantow Dds Ps Facility NPI 1821197989

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spokane Valley, WA

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

Practicing in Spokane Valley, 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 WA DE00011053

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1598078768

Doctor of Dental Surgery

Dr. Michael Trantow , DDS

Dentist - General Practice

NPI 1760461412

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 14, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2007

Registered at 12121 E BROADWAY AVE BLDG III, SPOKANE VALLEY, WA 992064972 (Tel: 5099283363)

📍
Updated Business Mailing Address August 14, 2007

Registered at 12121 E BROADWAY AVE BLDG III, SPOKANE VALLEY, WA 992064972 (Tel: 5099283363)

👤
Provider Name / Credentials Updated August 14, 2007

Recorded as KORY WILSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2007

Dentist (License #DE00011053 in WA)

🟢
Initial NPI Registration & Enumeration August 14, 2007

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: 1053503995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2007
Last Update: August 14, 2007
Sole Proprietor: No

Mailing Address

12121 E Broadway Ave Bldg Iii

Spokane Valley, WA 992064972

Phone: 5099283363

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.