Dr. Lila P. Wilson DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60306 Issued in CA

Legal business name

DR. LILA P. WILSON DDS, INC.

Doing business as

Dr. Lila P. Wilson DDS, Inc.

Practice address

2100 Hilltop Dr Ste a
Redding, CA 96002-0512

Phone

(530) 605-3350

Fax

(530) 605-3351

NPI assigned

Jun 5, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lila P Wilson, DDS

Title

General Dentist/ President

Phone

(530) 605-3350

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lila P. Wilson DDS, Inc. Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1184116162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 HILLTOP DR STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020512",
            "telephone_number": "530-605-3350",
            "fax_number": "530-605-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HILLTOP DR STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020512",
            "telephone_number": "530-605-3350",
            "fax_number": "530-605-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LILA P. WILSON DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LILA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "GENERAL DENTIST/ PRESIDENT",
        "authorized_official_telephone_number": "530-605-3350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Lila P. Wilson DDS, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Redding, CA
• Providers in Redding, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.