Neil S Wilensky DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

019990 Issued in CA

Legal business name

NEIL S WILENSKY DDS INC

Practice address

895 River Drive
Fort Bragg, CA 95437-5441

Phone

(707) 961-4270

Fax

(707) 961-4275

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Neil Steven Wilensky, DDSNPI 1700227576

Title

Owner President of Corporation

Phone

(707) 961-4270

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Neil Steven Wilensky, D.D.S.

  • General Practice Dentistry
  • Fort Bragg, CA
  • NPI 1700227576
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669580486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 RIVER DRIVE",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375441",
            "telephone_number": "707-961-4270",
            "fax_number": "707-961-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 RIVER DRIVE",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375441",
            "telephone_number": "707-961-4270",
            "fax_number": "707-961-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL S WILENSKY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILENSKY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "707-961-4270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "019990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Miskelly
• Tamaki A. Myers, MD
• Talia Jean Nadeau, LMFT
• Mark A Nash, DDS
• Forrest Naylor, HIS
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• Poppy O'Sheehan
• Janette Ornelas

• Dentist in Fort Bragg, CA
• Providers in Fort Bragg, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.