Kent W Wilson Dds Inc in South Pasadena - General Practice
Kent W Wilson Dds Inc - NPI 1790864254
Kent W Wilson Dds Inc is a General Practice in South Pasadena, California. Kent W Wilson Dds Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kent W Wilson Dds Inc is 1790864254. The last update date is 2020-08-22.
Kent W Wilson Dds Inc's current location address is 1941 Huntington Drive, South Pasadena, California. You can contact this provider via phone number 6264411167. The mailing address for Kent W Wilson Dds Inc is 1941 Huntington Drive, South Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kent W Wilson Dds Inc |
|---|---|
| Address | 1941 Huntington Drive, South Pasadena, California |
| Phone Number | 6264411167 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wilson W Kent |
| Credentials | DDS |
| Telephone Number | 6264411167 |
NPI Number Detail
| NPI Number | 1790864254 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1941 Huntington Drive |
|---|---|
| City | South Pasadena |
| State | California (CA) |
| Post Code | 91030 |
| Phone Number | 6264411167 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 25654 |
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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 Kent W Wilson Dds Inc by the Centers for Medicare & Medicaid Services?
The Kent W Wilson Dds Inc has been assigned the NPI (National Provider Identifier) 1790864254. 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 Kent W Wilson Dds Inc?
The Kent W Wilson Dds Inc is physically situated at 1941 Huntington Drive, in the city of South Pasadena, state of CA, with the postal code 91030.
What is Kent W Wilson Dds Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kent W Wilson Dds Inc is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790864254 to Kent W Wilson Dds Inc?
The Centers for Medicare & Medicaid Services originally issued the 1790864254 to Kent W Wilson Dds Inc on 2006-11-03.
As of what date were the Kent W Wilson Dds Inc's details last updated?
The information pertaining to the Kent W Wilson Dds Inc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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