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Mr. Jack Anthony Wilson, RDHAP
Dental Hygienist in National City, California
NPI 1043216807

Jack Anthony Wilson is a Dental Hygienist based in National City, CA. Jack Anthony Wilson practices in National City, CA and has the professional credentials of RDHAP. The NPI Number for Jack Anthony Wilson is 1043216807 and holds a License No. HAP 299 (California).

The current practice location address for Jack Anthony Wilson is 2654 Stacey Way, National City, CA and can be reached out via phone at 559-289-8293. You can also correspond with Jack Anthony Wilson through the mailing address at 2654 STACEY WAY, NATIONAL CITY, CA - 91950-7760 (mailing address contact number: 559-289-8293).

Location: 2654 Stacey Way, National City, CA, 91950-7760
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043216807
Provider Name
Jack Anthony Wilson
Credential
RDHAP
Provider Entity Type
Individual
Gender
Male
Address
2654 Stacey Way, National City, CA, 91950-7760
Phone Number
559-289-8293
Fax Number
Provider Enumeration Date
06/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
299 01 CA REGISTERED DENTAL HYGIENIST IN ALTERNATIVE PRACTICE
institution
Provider Business Practice Location Address Details
Address
2654 Stacey Way
City
National City
State
California
Zip
91950-7760
Phone Number
559-289-8293
Fax Number
person
Provider Business Mailing Address Details
Address
2654 Stacey Way
City
National City
State
California
Zip
91950-7760
Phone Number
559-289-8293
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
HAP 299 (California)
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
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