Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1063474799 Deactivated / Inactive NPI Male Practitioner

Dr. Jerard Wilson , DDS

Dentist - General Practice • Rocklin, 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. Jerard Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 06, 2006
NPI Deactivation Date July 16, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Jerard Wilson, DDS was a registered Dentist - General Practice practicing in Rocklin, CA. Throughout an active medical career spanning 13 years, Dr. Wilson provided care at the practice location at 5800 STANFORD RANCH RD until profile deactivation on 2019-07-16.

Practice Location & Contact Primary Location

Practice Address

5800 Stanford Ranch Rd
#900

Rocklin, CA 957654385

Telephone 9166635555
Fax 9166635558
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rocklin, CA

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

Practicing in Rocklin, 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 21418

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

2 Associated Practitioners
Dr. James Robison , DMD

Dentist - General Practice

NPI 1154798320

Doctor of Dental Medicine

Dr. Kelly Wilson , DDS

Dentist - General Practice

NPI 1942338819

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 July 16, 2019

Record deactivated on July 16, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5800 STANFORD RANCH RD, #900, ROCKLIN, CA 957654385 (Tel: 9166635555)

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Updated Business Mailing Address July 08, 2007

Registered at 5800 STANFORD RANCH RD, #900, ROCKLIN, CA 95765 (Tel: 9166635555)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JERARD WILSON, DDS

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

Dentist (License #21418 in CA)

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Initial NPI Registration & Enumeration April 06, 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: 1063474799
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2006
Last Update: July 08, 2007
Deactivation Date: July 16, 2019

Mailing Address

5800 Stanford Ranch Rd, #900

Rocklin, CA 95765

Phone: 9166635555

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.