William George Wilson in Modesto - General Practice

William George Wilson - NPI 1285645309

William George Wilson is a General Practice in Modesto, California. William George Wilson practices all healthcare services and medical treatments related to General Practice. The NPI Number for William George Wilson is 1285645309. The last update date is 2007-07-08.

William George Wilson's current location address is 1604 Ford Ave Ste 12, Modesto, California. You can contact this provider via phone number 2095795444 and fax number 2095795445. The mailing address for William George Wilson is 1604 Ford Ave Ste 12, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name William George Wilson
Address 1604 Ford Ave Ste 12, Modesto, California
Phone Number 2095795444
Fax Number 2095795445
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1285645309
Provider Enumeration Date 2006-08-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1604 Ford Ave Ste 12
City Modesto
State California (CA)
Post Code 953504655
Phone Number 2095795444
Fax Number 2095795445

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 32917
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B32917-01 CA CA MEDI-CAL DENTAL PROG
163-84-0062 CA ADA #

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FAQs about William George Wilson

What is the unique provider identifier assigned to William George Wilson?

The William George Wilson has been issued the NPI (National Provider Identifier) 1285645309 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of William George Wilson?

The William George Wilson is physically situated at 1604 Ford Ave Ste 12, in the city of Modesto, state of CA, with the postal code 953504655.

What is William George Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for William George Wilson is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

When did William George Wilson receive its 1285645309 assignment?

The William George Wilson was assigned its 1285645309 on 2006-08-11, which is the date when this unique identifier was issued to the organization.

When was the William George Wilson's information last updated?

The William George Wilson's information was last updated on 2007-07-08.

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