Wilson and Novotny Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32204 Issued in CA

Legal business name

WILSON AND NOVOTNY DENTAL CORPORATION

Practice address

9310 Carmel Mountain Rd
Suite D
San Diego, CA 92129-2158

Phone

(858) 484-4880

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Kenny Wilson, DDS

Title

President

Phone

(858) 484-4880

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julianna Novotny, DDS

  • Dentist
  • San Diego, CA
  • NPI 1477653244
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1457411258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 CARMEL MOUNTAIN ROAD",
            "address_2": "SUITE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292158",
            "telephone_number": "858-484-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 CARMEL MOUNTAIN RD",
            "address_2": "SUITE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292158",
            "telephone_number": "858-484-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON AND NOVOTNY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "KENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-484-4880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32157",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32204",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "32204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesa Sabrina Wilmington
• Tyler Wilps, MD
• Wils Transportation
• Adam Wilshusen
• Paige Wilsie
• Sheridan Wilson Grooms
• Wilson Marriage and Family Therapy PC
• Catherine Michele Wilson Rademacher, ED.D.
• Lori Wilson-Hopkins, RN
• Jackeline Xiomara Wilson-Lebron

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Sep 11, 2025; 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.