George M Wilson DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

34621 Issued in CA

Legal business name

GEORGE M WILSON DDS INC

Practice address

380 W Putnam Ave
Porterville, CA 93257-3323

Phone

(559) 781-9117

Fax

(559) 781-2819

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Consuelo R Mendez

Title

Office Manager

Phone

(559) 781-9117

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.

• George M. Wilson, DDS

  • Pediatric Dentistry
  • Porterville, CA
  • NPI 1124141536
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770582991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573323",
            "telephone_number": "559-781-9117",
            "fax_number": "559-781-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573323",
            "telephone_number": "559-781-9117",
            "fax_number": "559-781-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE M WILSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "CONSUELO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-781-9117",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "34621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garfield Beach CVS LLC
• Garfield Beach CVS, L.L.C
• Flor Itzel Gasper
• Aaron Lee Gates, PHARM.D.
• Michael D Geiling, DO
• Nancy German
• Sara Lee Gershon, LSW
• Omid Gheysar, M.D
• Karan Arvind Gidwani, DO
• Aubrey Gil

• Dentist in Porterville, CA
• Providers in Porterville, 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.