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William George Wilson, DDS
General Practice Dentistry in Modesto, California
NPI 1285645309

William George Wilson is a General Practice Dentistry based in Modesto, CA and is specialized in General Practice. William George Wilson practices in Modesto, CA and has the professional credentials of DDS. The NPI Number for William George Wilson is 1285645309 and holds a License No. 32917 (California).

The current practice location address for William George Wilson is 1604 Ford Ave Ste 12, Modesto, CA and can be reached out via phone at 209-579-5444 and via fax at 209-579-5445.

Location: 1604 Ford Ave Ste 12, Modesto, CA, 95350-4655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285645309
Provider Name
William George Wilson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1604 Ford Ave Ste 12, Modesto, CA, 95350-4655
Phone Number
209-579-5444
Fax Number
209-579-5445
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B32917-01 01 CA CA MEDI-CAL DENTAL PROG
163-84-0062 01 CA ADA #
institution
Provider Business Practice Location Address Details
Address
1604 Ford Ave Ste 12
City
Modesto
State
California
Zip
95350-4655
Phone Number
209-579-5444
Fax Number
209-579-5445
person
Provider Business Mailing Address Details
Address
1604 Ford Ave Ste 12
City
Modesto
State
California
Zip
95350-4655
Phone Number
209-579-5444
Fax Number
209-579-5445
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
32917 (California)
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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