Wyatt Wilson, DMD
NPI 1023423639 · General Practice Dentistry · Oregon City, OR
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wyatt Wilson, DMD is a General Practice Dentistry provider in Oregon City, OR (NPI 1023423639).
Provider details
- NPI number
- 1023423639
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D10058 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 18650 Nw Cornell RdHillsboro, OR 97124-9207Phone: (503) 848-5861Fax: (503) 848-5863
- 3300 Se Dwyer Dr Ste 302Milwaukie, OR 97222-6548Phone: (503) 850-4479Fax: (503) 850-4481
Registry dates
- Enumerated
- 2014-06-23
- Last updated
- 2020-04-20
- Certified
- 2020-04-20
Frequently asked questions
- What is Wyatt Wilson's NPI number?
- Wyatt Wilson's National Provider Identifier (NPI) is 1023423639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wyatt Wilson's specialty?
- Wyatt Wilson is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Wyatt Wilson located?
- Wyatt Wilson's practice location on file with NPPES is 19029 Beavercreek Rd, Oregon City, OR 97045-9537.
- What is Wyatt Wilson's phone number?
- The practice phone number listed in the NPPES registry for Wyatt Wilson is (503) 941-3064.
- Does Wyatt Wilson accept Medicare?
- Wyatt Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wyatt Wilson's NPI active?
- Yes — Wyatt Wilson's NPI (1023423639) is active in the NPPES registry as of the last update on 2020-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.