Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kimberlee Wildman

Individual provider Dental Assistant · NPI 1063324572

Kimberlee Wildman is a Dental Assistant in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2026.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

10104 NE Hazel Dell Ave
Vancouver, WA 98685-5206
Phone: (360) 907-3205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence DEAS.D1.60799888 (WA)

Record details

NPI number1063324572
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedSeptember 21, 2026
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 20, 2026

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