OrganizationActive
Wilson Professional Dental Corporation
NPI 1497312888 · Dental Clinic/Center · San Juan Capistrano, CA
Provider details
- NPI number
- 1497312888
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mandi Wilson, Dentist(903) 330-4661
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
31103 Rancho Viejo Rd Ste D5
San Juan Capistrano, CA 92675-1759
Phone: (949) 661-3380
Street-level locationGet directions
Mailing address
21020 Pacific City Cir Unit 2423
Huntington Beach, CA 92648-8516
Registry dates
- Enumerated
- 2019-05-22
- Last updated
- 2019-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.