DR. SEAN SCOTT WILSON (NPI# 1396913877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396913877 |
| Entity Type | Individual |
| Full Name | DR. SEAN SCOTT WILSON |
| Credential | D.D.S |
| Practice Address |
98 Montgomery Dr Santa Rosa CA 95404-6615 |
| Practice Telephone | 7075787424 |
| Practice Fax Number | 7075786419 |
| Mailing Telephone | 7075787424 |
| Mailing Fax Number | 7075786419 |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2014-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 47821 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023545720 | Sean Wilson | Counselor | 1221 E Dyer Rd St. 220, Santa Ana, CA 92705 | 2017-05-12 |
| 1568777332 | Sean A Wilson | Counselor | 53 Garden St, Haverhill, MA 01830-3944 | 2010-08-17 |
| 1952921496 | Sean Austin Wilson | Student in an Organized Health Care Education/Training Program | 7501 Riverside Pkwy, Tulsa, OK 74136-5056 | 2020-04-24 |
| 1073147302 | Sean Wilson | Registered Nurse | 2130 Pinehurst Ave, Charleston, SC 29414-6455 | 2020-02-25 |
| 1568994846 | Sean Mcferran Wilson | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2017-03-28 |
| 1770933665 | Sean Wilson | Emergency Medicine | 100 Fairview Dr, Franklin, VA 23851-1238 | 2016-06-21 |
| 1528320231 | Sean P Wilson | Emergency Medicine | 3440 E La Palma Ave, Anaheim, CA 92806-2020 | 2012-06-10 |
| 1386946747 | Sean Michael Wilson | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2010-11-17 |
| 1346564788 | Sean Miller Wilson | Student in an Organized Health Care Education/Training Program | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2010-03-14 |
| 1477886182 | Sean William Wilson | Radiology | 1959 Ne Pacific St, Rr215 Uw Box 357115, Seattle, WA 98195-0001 | 2009-09-13 |
| Street Address |
98 MONTGOMERY DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-6615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790883080 | Paul T. Kefalides | Internal Medicine | 98 Montgomery Dr, Ste C, Santa Rosa, CA 95404-6615 | 2006-09-20 |
| 1598288060 | Samantha Charlotte Lenzini | Audiologist | 98 Montgomery Dr, Santa Rosa, CA 95404-6615 | 2017-07-17 |
| 1932207255 | David J. Soto | Surgery | 98 Montgomery Dr, Ste C, Santa Rosa, CA 95404-6615 | 2006-09-20 |
| 1326146705 | Natalia Balytsky | Anesthesiology | 98 Montgomery Dr, Ste.c, Santa Rosa, CA 95404-6615 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487127486 | Evelyn Escobedo | Dentist | 2335 Summercreek Dr Apt 59, Santa Rosa, CA 95404-7761 | 2019-01-02 |
| 1053853242 | Stephanie Settimi Dds, Inc | Dentist | 2798 Yulupa Ave Ste 3, Santa Rosa, CA 95405-8570 | 2016-11-06 |
| 1720484835 | Sarah Gim | Dentist | 55 Mission Cir Ste 101, Santa Rosa, CA 95409-5372 | 2014-11-17 |
| 1477952182 | Stacey Diane Strong | Dentist | 95 Montgomery Address, Suite 106, Santa Rosa, CA 95404 | 2014-08-19 |
| 1225437254 | Sean Vreeburg | Dentist | 3599 Piner Rd, Santa Rosa, CA 95401-3916 | 2014-08-14 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1639510563 | Behnam Rostami | Dentist | 479 Stony Point Rd, Santa Rosa, CA 95401-5969 | 2013-07-08 |
| 1760821615 | Amanda Major | Dentist | 250 D St, Suite 200, Santa Rosa, CA 95404-4773 | 2013-06-24 |
| 1427398882 | Laura David Ellefson | Dentist | 1100 Sonoma Ave Ste A, Santa Rosa, CA 95405-8901 | 2013-02-22 |
| 1467798116 | Dental Corporation of Kelly A. Elward, Dds | Dentist | 1820 Sonoma Ave Ste 100, Santa Rosa, CA 95405-6617 | 2012-12-28 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on DR. SEAN SCOTT WILSON.
| 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.