Dr. Robert Mark Wilson , DDS
Dentist - General Practice • Mill Valley, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Wilson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Robert Wilson, DDS was a registered Dentist - General Practice practicing in Mill Valley, CA. Throughout an active medical career spanning 14 years, Dr. Wilson provided care at the practice location at 147 LOMITA DR until profile deactivation on 2024-05-08.
Practice Location & Contact Primary Location
147 Lomita Dr
Suite D-1
Mill Valley, CA 949411451
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Mill Valley, CA
Practicing in Mill Valley, CA (18734 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physical Therapist
Master of Physical Therapy
Acupuncturist
Licensed Acupuncturist
Dental Hygienist
Registered Dental Hygienist, COM
Chiropractor
Doctor of Chiropractic
Acupuncturist
LICAC
Physical Therapist
Physical Therapist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 08, 2024
NPI status registered as active in NPPES database
Registered at 147 LOMITA DR, SUITE D-1, MILL VALLEY, CA 949411451 (Tel: 4153889495)
Registered at 147 LOMITA DR, SUITE D-1, MILL VALLEY, CA 949411451 (Tel: 4153889495)
Recorded as ROBERT WILSON, D.D.S.
Dentist (License #29528 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
147 Lomita Dr, Suite D-1
Mill Valley, CA 949411451
Phone: 4153889495
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