RUSSELL CLAYTON WILSON (NPI# 1205844230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205844230 |
| Entity Type | Individual |
| Full Name | RUSSELL CLAYTON WILSON |
| Credential | DDS |
| Practice Address |
2738 W Main St Visalia CA 93291-4332 |
| Practice Telephone | 5597323972 |
| Practice Fax Number | 5597321506 |
| Mailing Telephone | 5597323972 |
| Mailing Fax Number | 5597321506 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
46346 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675967 | Russell Carl Wilson | Emergency Medical Technician, Paramedic | 1101 W Eagle Dr, Suite B, Decatur, TX 76234-3721 | 2005-11-04 |
| 1427057736 | Russell Andrew Wilson | Surgery | 1265 Highway 54 W Ste 500b, Fayetteville, GA 30214-4556 | 2005-07-19 |
| 1124068432 | Russell Chapman Wilson | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6504 | 2006-06-07 |
| 1487636627 | Russell L. Wilson | Radiology | 1215 Duff Ave, Ames, IA 50010-3014 | 2005-11-15 |
| Street Address |
2738 W MAIN ST |
| City | VISALIA |
| State | CA |
| Zip Code | 93291-4332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
| 1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
| 1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
| 1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
| 1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
| Find all providers in zip 93291 | ||||
| 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 |
|---|---|---|---|---|
| 1649889239 | Telmen Tumen-ulzii | Dentist | 222 E Cameron Ave Apt H, Visalia, CA 93277-7878 | 2020-07-29 |
| 1952832230 | S. Oh Dental Corp | Dentist | 1705 S Mooney Blvd, Visalia, CA 93277-4445 | 2017-03-27 |
| 1093953192 | Ralph C. Antolin Dental Coporation | Dentist | 1644 W Caldwell Ave, Suite A, Visalia, CA 93277-7730 | 2009-01-27 |
| 1104074079 | James T. Phillips | Dentist | 5423 W Hillsdale Ave, Visalia, CA 93291-5156 | 2008-09-04 |
| 1184828667 | Kermit L Norton | Dentist | 1130 N Chinowth, Visalia, CA 93291 | 2007-06-11 |
| 1366643173 | Charles Leonard Rico II | Dentist | 301 N Stevenson St, Visalia, CA 93291-6021 | 2007-05-30 |
| 1164633798 | Karl John Pendegraft | Dentist | 5415 W Hillsdale Ave, Visalia, CA 93291-5156 | 2007-05-25 |
| 1669682746 | Erick N. Cuenca Dmd Inc | Dentist | 5344 W Cypress Ave Ste 101, Visalia, CA 93277-8339 | 2007-05-23 |
| 1437368685 | Gregory Bajae Halls | Dentist | 5407 W Hillsdale, Visalia, CA 93291 | 2007-05-22 |
| 1831305010 | Mamoona Shazia Rasul | Dentist | 3206 N Dinuba Blvd, Suite F, Visalia, CA 93291-8729 | 2007-05-15 |
| Find all providers in VISALIA | ||||
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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.