Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kent W Wilson DDS Inc

Organization General Practice Dentistry · NPI 1790864254

Kent W Wilson DDS Inc is a General Practice Dentistry in South Pasadena, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1941 Huntington Dr Ste B
South Pasadena, CA 91030
Phone: (626) 441-1167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 25654 (CA)

Record details

NPI number1790864254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kent Wilson — President · (626) 441-1167
NPI enumeratedNovember 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1941 Huntington Drive, Suite B, South Pasadena, CA 91030

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