IndividualActive
Michelle Wilson, DDS
NPI 1104026483 · General Practice Dentistry · Centralia, WA
Michelle Wilson, DDS is a General Practice Dentistry provider in Centralia, WA (NPI 1104026483).
Provider details
- NPI number
- 1104026483
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- DE00011026 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1611 Kresky Ave
Suite 118
Centralia, WA 98531-8982
Phone: (360) 736-1114
Street-level locationGet directions
Mailing address
1611 Kresky Ave
Centralia, WA 98531-8982
Registry dates
- Enumerated
- 2007-07-24
- Last updated
- 2008-07-10
Frequently asked questions
- What is Michelle Wilson's NPI number?
- Michelle Wilson's National Provider Identifier (NPI) is 1104026483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Wilson's specialty?
- Michelle Wilson is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Michelle Wilson located?
- Michelle Wilson's practice location on file with NPPES is 1611 Kresky Ave, Centralia, WA 98531-8982.
- What is Michelle Wilson's phone number?
- The practice phone number listed in the NPPES registry for Michelle Wilson is (360) 736-1114.
- Is Michelle Wilson's NPI active?
- Yes — Michelle Wilson's NPI (1104026483) is active in the NPPES registry as of the last update on 2008-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.