WILSON PROFESSIONAL DENTAL CORPORATION
NPI 1497312888
Clinic/Center - Dental in San Juan Capistrano, CA

Q: What is Wilson Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since May 22, 2019

31103 RANCHO VIEJO RD STE D5, SAN JUAN CAPISTRANO, CA 92675(949) 661-3380 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wilson Professional Dental Corporation NPPES

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

WILSON PROFESSIONAL DENTAL CORPORATION (NPI 1497312888) is a healthcare organization registered as a dental in San Juan Capistrano, California and active in the NPI registry since May 2019. The organization lists Mandi Lynn Wilson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1497312888

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameWILSON PROFESSIONAL DENTAL CORPORATION

Location Address31103 RANCHO VIEJO RD STE D5San Juan Capistrano, CA 92675-1759

Mailing Address21020 Pacific City Cir Unit 2423Huntington Beach, CA 92648-8516 · (903) 330-4661

Phone(949) 661-3380

Organization SubpartNo

Authorized OfficialMandi Lynn WilsonDentist · (903) 330-4661

Enumeration DateMay 22, 2019

✔ NPI 1497312888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

31103 RANCHO VIEJO RD STE D5, San Juan Capistrano, CA 92675

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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 Wilson Professional Dental Corporation's NPI number?

The NPI number for Wilson Professional Dental Corporation is 1497312888. It was assigned to this organization in the NPPES registry on May 22, 2019.

Where is Wilson Professional Dental Corporation located?

Wilson Professional Dental Corporation is located at 31103 Rancho Viejo Rd Ste D5, San Juan Capistrano, CA 92675. The listed phone number is (949) 661-3380.

What is Wilson Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Wilson Professional Dental Corporation was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.