Mr. Jack Anthony Wilson
Dental Hygienist
2654 Stacey Way
National City
, California 91950-7760
Mr. Jack Anthony Wilson
Dental Hygienist
2654 Stacey Way
National City
, California 91950-7760
(559) 289-8293
Write a Review Share Save Call
About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Mr. Jack Anthony Wilson
- 2654 Stacey Way
- National City, CA
- Zip : 91950-7760
- Phone : (559) 289-8293
Second Address
- Mr. Jack Anthony Wilson
- 2654 Stacey Way
- National City, CA
- Zip : 91950-7760
- Phone : (559) 289-8293
Reviews
FAQs
Where did Mr. Jack Anthony Wilson attend graduate school?
Where did Mr. Jack Anthony Wilson do his residency?
Where did Mr. Jack Anthony Wilson do his fellowship?
Is Mr. Jack Anthony Wilson board certified?
What type of doctor is Mr. Jack Anthony Wilson
In what state does Mr. Jack Anthony Wilson practice in?
Where is Mr. Jack Anthony Wilson ’s practice located?
What is Mr. Jack Anthony Wilson ’s gender?
Is Mr. Jack Anthony Wilson a sole practitioner?
Is Mr. Jack Anthony Wilson accepting new patients?
What languages does Mr. Jack Anthony Wilson speak?
Does Mr. Jack Anthony Wilson accept insurance?
Does Mr. Jack Anthony Wilson offers telemedicine?
What is Mr. Jack Anthony Wilson ’s professional license number?
What is Mr. Jack Anthony Wilson ’s NPI number?
Does Mr. Jack Anthony Wilson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | HAP 299 | CA |
National Provider Identifier
| NPI | 1043216807 |
|---|---|
| Provider Name | Mr. Jack Anthony Wilson |
| First Address | National City, CA 91950-7760 |
| Second Address | National City, CA 91950-7760 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2005 |
| Last Update Date | 15/07/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 299 | REGISTERED DENTAL HYGIENIST IN ALTERNATIVE PRACTICE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.