Individual provider · Type 1 NPI

Jack Anthony Wilson, RDHAP

Dental Hygienist · National City, CA

NPI number 1043216807 Active

Practice location

2654 Stacey Way
National City, CA 91950-7760

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XHAP 299 (CA)

Dental Hygienist: 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…

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About NPI 1043216807

Jack Anthony Wilson, RDHAP's National Provider Identifier is 1043216807, issued on Jun 24, 2005. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in National City, CA. The record was last updated on Jul 15, 2014.