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Deactivated NPI 1265638092 Deactivated / Inactive NPI Male Practitioner

Dr. Melvyn D Wilson , DDS

Dentist - General Practice • Oakland, CA

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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. Melvyn Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 27, 2007
NPI Deactivation Date August 24, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Melvyn Wilson, DDS was a registered Dentist - General Practice practicing in Oakland, CA. Throughout an active medical career spanning 15 years, Dr. Wilson provided care at the practice location at 8105 EDGEWATER DR until profile deactivation on 2022-08-24.

Practice Location & Contact Primary Location

Practice Address

8105 Edgewater Dr
122

Oakland, CA 946212028

Telephone 5105005115
Associated Practice Facility / Clinic
🏢 Peer Wellness Collective Facility NPI 1205661592

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Oakland, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
177 Specialists

Practicing in Oakland, 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 B30291

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

4 Associated Practitioners
Dr. Hamid Amiri , DDS

Dentist - General Practice

NPI 1073541777

Doctor of Dental Surgery

Dr. Bing-Hong Bu , DDS

Dentist - General Practice

NPI 1235204306

Doctor of Dental Surgery

Dr. Hans Facer , DDS

Dentist - General Practice

NPI 1306910864

Doctor of Dental Surgery

Dr. Syed Akhtar , DDS

Dentist - General Practice

NPI 1700903622

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 24, 2022

Record deactivated on August 24, 2022

NPI Profile Active July 26, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 26, 2013

Registered at 8105 EDGEWATER DR, 122, OAKLAND, CA 946212028 (Tel: 5105005115)

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Updated Business Mailing Address July 26, 2013

Registered at 39120 ARGONAUT WAY, 277, FREMONT, CA 945381304 (Tel: 5105753025)

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Provider Name / Credentials Updated July 26, 2013

Recorded as MELVYN WILSON, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2013

Dentist (License #B30291 in CA)

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Initial NPI Registration & Enumeration June 27, 2007

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: 1265638092
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2007
Last Update: July 26, 2013
Deactivation Date: August 24, 2022

Mailing Address

39120 Argonaut Way, 277

Fremont, CA 945381304

Phone: 5105753025

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.