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Active NPI 1285645309 Individual Practitioner Male Practitioner

Dr. William George Wilson , DDS

Dentist - General Practice • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. William Wilson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Modesto, CA. Practice services are available at 1604 FORD AVE STE 12 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1604 Ford Ave Ste 12

Modesto, CA 953504655

Telephone 2095795444
Fax 2095795445

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
133 Specialists

Practicing in Modesto, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 32917

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ca Medi-Cal Dental Prog
B32917-01 (CA)
Commercial Insurance / Payer ID Ada #
163-84-0062 (CA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1604 FORD AVE STE 12, MODESTO, CA 953504655 (Tel: 2095795444)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1604 FORD AVE STE 12, MODESTO, CA 953504655 (Tel: 2095795444)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM WILSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #32917 in CA)

🟢
Initial NPI Registration & Enumeration August 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285645309
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1604 Ford Ave Ste 12

Modesto, CA 953504655

Phone: 2095795444

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.