MR. JACK ANTHONY WILSON RDHAP
NPI 1043216807
Dental Hygienist in National City, CA

Q: What is Jack Wilson's NPI number?

The NPI number for Jack Wilson is 1043216807. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Q: What is Jack Wilson's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Wilson was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2005

2654 STACEY WAY, NATIONAL CITY, CA 91950(559) 289-8293 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jack Anthony Wilson Rdhap NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK ANTHONY WILSON RDHAP (NPI 1043216807) is an individual dental hygienist in National City, California, licensed in California (HAP 299) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1043216807

Entity TypeIndividualMale

Primary Taxonomy124Q00000X

Provider Legal NameMR. JACK ANTHONY WILSONCredential: RDHAP

Location Address2654 STACEY WAYNational City, CA 91950-7760

Mailing Address2654 Stacey WayNational City, CA 91950-7760 · (559) 289-8293

Phone(559) 289-8293

Sole ProprietorYes

Enumeration DateJune 24, 2005

Last NPPES UpdateJuly 15, 2014

✔ NPI 1043216807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in CA · HAP 299

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.

2654 STACEY WAY, National City, CA 91950

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Other Identifiers 1

Other299CA · Registered Dental Hygienist In Alternative Practice

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Wilson's NPI number?

The NPI number for Jack Wilson is 1043216807. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Jack Wilson located?

Jack Wilson practices at 2654 Stacey Way, National City, CA 91950. The listed phone number is (559) 289-8293.

What is Jack Wilson's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Jack Wilson was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.