Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK ANTHONY WILSON, RDHAP
Active Sole ProprietorMR. JACK ANTHONY WILSON, RDHAP is a Dental Hygienist healthcare provider located in NATIONAL CITY, California. NPI 1043216807 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · NATIONAL CITY, CA
Registration Details
- NPI Number
- 1043216807
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2005 (21.133957626558 yrs)
- Last Updated
- Jul 15, 2014
- License
-
HAP 299 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2654 STACEY WAYNATIONAL CITY, CA, 919507760Browse CA providers · Browse ZIP 91950
- Phone
- 5592898293
- Primary Specialty
-
Dental Hygienist
124Q00000X
Other Dental Hygienist Providers in NATIONAL CITY, CA
| Name | Credential | NPI |
|---|---|---|
| JANICE JIMENEZ | RDH | 1962915157 |
| MYLENE BARRAMEDA STILLWAGGON | RDH | 1649783572 |
| JAMIE ROSE TANCIATCO DE LEON | — | 1275357097 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.