OrganizationActive
Desy P Wilson DDS Ms PC
NPI 1588007264 · Orthodontics and Dentofacial Orthopedics Dentistry · Grants Pass, OR
Provider details
- NPI number
- 1588007264
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Desy Wilson, President(541) 474-0860
Specialties & taxonomies
Dental Providers
Practice location
859 Ne 7th St
Grants Pass, OR 97526-1634
Phone: (541) 474-0860
Approximate (ZIP-level) locationGet directions
Mailing address
2073 Sw Park Ave Apt 221
Portland, OR 97201-3121
Registry dates
- Enumerated
- 2013-04-11
- Last updated
- 2013-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.