Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENT WILLIAM WILSON, D.D.S.

Active Sole Proprietor

DR. KENT WILLIAM WILSON, D.D.S. is a General Dentistry healthcare provider located in SOUTH PASADENA, California. NPI 1700208576 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SOUTH PASADENA, CA

Registration Details

NPI Number: 1700208576
Provider Type: Individual
Gender: Male
NPI Issued: Jan 14, 2014 (12.399921548406 yrs)
Last Updated: Jan 14, 2014
License: 25654 (CA)
Sole Proprietor: Yes

Practice Information

Address: 1941 HUNTINGTON DR

SUITE B

SOUTH PASADENA, CA, 910304967
Browse CA providers · Browse ZIP 91030
Phone: 6264411167
Fax: 6263313378
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in SOUTH PASADENA, CA

Name	Credential	NPI
DR. SUSAN LEUNG	DDS	1922041433
DR. JAMES CARLTON HODGE JR.	D.D.S.	1114947868
DR. MARY CHESS ABELSON	D.D.S.	1942383831
DR. PAI-JEN BOREN CHEN	D.D.S.	1114090966
MRS. LINDA JANE YANAGA	DDS	1083768840
DR. JOHNSTON C CHU	DDS	1982734315

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.