IndividualActive
Kenneth Wiltbank, D.M.D.
NPI 1003015496 · Dentist · Lake Oswego, OR
Provider details
- NPI number
- 1003015496
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- D7468 (OR)
Specialties & taxonomies
Dental Providers
Practice location
320 a Ave
Lake Oswego, OR 97034-3056
Phone: (503) 636-3383
Approximate (ZIP-level) locationGet directions
Mailing address
320 a Avenue
Lake Oswego, OR 97034
Registry dates
- Enumerated
- 2007-07-16
- Last updated
- 2007-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.