IndividualActive
Desy Wilson, DDS, MS
NPI 1134524465 · Orthodontics and Dentofacial Orthopedics Dentistry · Grants Pass, OR
Provider details
- NPI number
- 1134524465
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Female
- Sole proprietor
- Yes
- License
- D9823 (OR)
Practice location
859 Ne 7th St
Grants Pass, OR 97526-1634
Phone: (541) 474-0860
Fax: (541) 476-1038
Mailing address
859 Ne 7th St
Grants Pass, OR 97526-1634
Registry dates
- Enumerated
- 2014-10-29
- Last updated
- 2014-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.