WILSON DENTAL CLINIC, PLC (NPI# 1164507489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164507489 |
| Entity Type | Organization |
| Organization Name | WILSON DENTAL CLINIC, PLC |
| Practice Address |
145 N Clark St Forest City IA 50436-1615 |
| Practice Telephone | 6415855431 |
| Practice Fax Number | 6415855435 |
| Mailing Telephone | 6415855431 |
| Mailing Fax Number | 6415855435 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GEORGE ALAN WILSON (DENTIST) |
| Authorized Official Telephone | 6415855431 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
7842 | IA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5660 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BC/BS OF IA FEDERAL PROGR | 48855 | 01 |
| IA | 0119651 | 05 | |
| IA | BC/BS OF IA FEDERAL PROGR | 11965 | 01 |
| IA | 0253963 | 05 |
| Street Address |
145 N CLARK ST |
| City | FOREST CITY |
| State | IA |
| Zip Code | 50436-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033292917 | George Alan Wilson | Dentist | 145 N Clark St, Forest City, IA 50436-1615 | 2006-10-23 |
| 1326121229 | Scott Lee Wilson | Dentist | 145 N Clark St, Forest City, IA 50436-1615 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184832628 | Robin Frances Charlson | Physical Therapist | 1144 Hwy 69 N, Area Education Agency 267, Forest City, IA 50436 | 2007-05-18 |
| 1700975422 | Laila A Buck | Dentist | 132 East J Street, Forest City, IA 50436 | 2006-10-12 |
| 1346334984 | James Lee Brockhohn | Chiropractor | 245 North Clark Street, Forest City, IA 50436 | 2006-10-03 |
| 1376585380 | Twyla D. Ostercamp | Family Medicine | 635 East Hwy 9, Forest City, IA 50436 | 2006-06-12 |
| 1144274440 | County of Winnebago | Public Health or Welfare | 216 South 4th Street, Forest City, IA 50436 | 2006-05-20 |
| 1699987586 | Forest Plaza Assisted Living | Assisted Living Facility | 635 Highway 9 East, Forest City, IA 50436 | 2007-05-04 |
| 1497862072 | Pamela E Keller | Family Medicine | 635 E Us Hwy, Forest City, IA 50436-0000 | 2006-08-23 |
| 1447368170 | Timothy L Ackarman | Physician Assistant | 635 E Us Hwy, Forest City, IA 50436-0000 | 2006-08-25 |
| 1548377120 | Byron H Carlson | Family Medicine | 635 E Us Hwy, Forest City, IA 50436-0000 | 2006-08-23 |
| 1851344352 | Shopko Stores Operating Co LLC | Pharmacy | 616 E Us Highway 9, Forest City, IA 50436-1012 | 2006-05-18 |
| Find all providers in zip 50436 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053547042 | Jeffrey David Hall | Dentist | 420 S Broadway St Ste 104, Forest City, NC 28043-4092 | 2009-06-03 |
| 1346444841 | William H. Hunt, Dds, Pa | Dentist | 127 E Trade St Ste 100, Forest City, NC 28043-2200 | 2007-06-11 |
| 1891747457 | William Haze Hunt | Dentist | 127 E Trade St, Suite 100, Forest City, NC 28043-3131 | 2006-05-16 |
| 1548249295 | Frank Edgerton Jones | Dentist | 145 S Powell St, Forest City, NC 28043-3627 | 2006-01-11 |
| 1376833855 | Genco Dental Care, PC | Dentist | 518 Main St, Forest City, PA 18421-1498 | 2011-04-18 |
| 1093048217 | Electric City Dental Group | Dentist | 117 Main St, Forest City, PA 18421-1440 | 2009-09-08 |
| 1033292917 | George Alan Wilson | Dentist | 145 N Clark St, Forest City, IA 50436-1615 | 2006-10-23 |
| 1326121229 | Scott Lee Wilson | Dentist | 145 N Clark St, Forest City, IA 50436-1615 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400106 | Samantha Wagler | Dentist | 923 6th Avenue, Dewitt, IA 52742 | 2020-09-03 |
| 1295343804 | Gabrielle Genevieve Henry | Dentist | 401 Haganman Ln, Solon, IA 52333-9760 | 2020-07-20 |
| 1942827811 | Kalona Family Dental, Plc | Dentist | 1206 E Ave, Kalona, IA 52247-9767 | 2020-06-26 |
| 1245856582 | Reena Patel | Dentist | 401 S Gear Ave Ste 101, West Burlington, IA 52655-1067 | 2020-06-23 |
| 1679199574 | Flora Yu Harn Yen | Dentist | 3602 Ne Otterview Cir, Ankeny, IA 50021-7773 | 2020-06-17 |
| 1679198030 | Colin Earl Odland | Dentist | 1089 Jordan Creek Pkwy Ste 100, West Des Moines, IA 50266-5829 | 2020-06-11 |
| 1124653860 | Chase Frei | Dentist | 2615 S Center St, Marshalltown, IA 50158-4501 | 2020-03-03 |
| 1649828344 | Stephanie Jo Heyland | Dentist | 4723 Avenue J, Fort Madison, IA 52627-9511 | 2019-08-27 |
| 1952958167 | Skyline Dental Services, LLC | Dentist | 2180 W Kimberly Rd # 8, Davenport, IA 52806-5368 | 2019-08-22 |
| 1386296671 | Dillon Wesley Schloerb | Dentist | 1606 Golden Aspen Dr Ste 110, Ames, IA 50010-8011 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | FOREST CITY |
| Zip Code | 50436 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.