OrganizationActive
Kent W Wilson DDS Inc
NPI 1790864254 · General Practice Dentistry · South Pasadena, CA
Kent W Wilson DDS Inc is a General Practice Dentistry organization in South Pasadena, CA (NPI 1790864254).
Provider details
- NPI number
- 1790864254
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kent Wilson, President(626) 441-1167
- License
- 25654 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1941 Huntington Drive
Suite B
South Pasadena, CA 91030
Phone: (626) 441-1167
Street-level locationGet directions
Mailing address
1941 Huntington Drive
South Pasadena, CA 91030
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is Kent W Wilson DDS Inc's NPI number?
- Kent W Wilson DDS Inc's National Provider Identifier (NPI) is 1790864254, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kent W Wilson DDS Inc?
- Kent W Wilson DDS Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kent W Wilson DDS Inc located?
- Kent W Wilson DDS Inc's practice location on file with NPPES is 1941 Huntington Drive, South Pasadena, CA 91030.
- What is Kent W Wilson DDS Inc's phone number?
- The practice phone number listed in the NPPES registry for Kent W Wilson DDS Inc is (626) 441-1167.
- Who is the authorized official for Kent W Wilson DDS Inc?
- The authorized official listed on Kent W Wilson DDS Inc's NPPES record is Kent Wilson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kent W Wilson DDS Inc's NPI active?
- Yes — Kent W Wilson DDS Inc's NPI (1790864254) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.