Kelly Jay Wilson in Rocklin - General Practice
Kelly Jay Wilson - NPI 1942338819
Kelly Jay Wilson is a General Practice in Rocklin, California. Kelly Jay Wilson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kelly Jay Wilson is 1942338819. The last update date is 2007-07-08.
Kelly Jay Wilson's current location address is 5800 Stanford Ranch Rd, Rocklin, California. You can contact this provider via phone number 9166635555. The mailing address for Kelly Jay Wilson is 5800 Stanford Ranch Rd, Rocklin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Jay Wilson |
|---|---|
| Address | 5800 Stanford Ranch Rd, Rocklin, California |
| Phone Number | 9166635555 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1942338819 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5800 Stanford Ranch Rd |
|---|---|
| City | Rocklin |
| State | California (CA) |
| Post Code | 957654385 |
| Phone Number | 9166635555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 52954 |
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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. |
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What is the unique identifier code issued to Kelly Jay Wilson by the Centers for Medicare & Medicaid Services?
The Kelly Jay Wilson has been assigned the NPI (National Provider Identifier) 1942338819. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kelly Jay Wilson?
The Kelly Jay Wilson is physically situated at 5800 Stanford Ranch Rd, in the city of Rocklin, state of CA, with the postal code 957654385.
What is the Kelly Jay Wilson's area of specialization and corresponding taxonomy classification?
The Kelly Jay Wilson's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When was the Kelly Jay Wilson's 1942338819 issued?
The Kelly Jay Wilson's 1942338819 was issued on 2007-03-01.
As of what date were the Kelly Jay Wilson's details last updated?
The information pertaining to the Kelly Jay Wilson, including its address, specialty, and other details, was most recently updated on 2007-07-08.