OrganizationActive
Nutterwilson PLLC
NPI 1750516639 · Dental Clinic/Center · Vancouver, WA
Provider details
- NPI number
- 1750516639
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Wilson, Owner(360) 892-1170
- License
- DE000092841 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
601 Se 117th Ave Ste 230
Vancouver, WA 98683-5297
Phone: (360) 892-1170
Fax: (360) 604-1172
Street-level locationGet directions
Mailing address
601 Se 117th Ave Ste 230
Vancouver, WA 98683-5297
Other names (DBA / former)
- Doing business as
- Distinctive Dental Care
Registry dates
- Enumerated
- 2009-05-21
- Last updated
- 2009-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.