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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GAVIN B WILSON, DDS

Active

GAVIN B WILSON, DDS is a General Dentistry healthcare provider located in RATON, New Mexico. NPI 1013445386 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · RATON, NM

Registration Details

NPI Number
1013445386
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2017 (9.2385881878177 yrs)
Last Updated
May 31, 2017
License
DD4693 (NM)

Practice Information

Address
217 YORK CANYON RD
RATON, NM, 877402008
Browse NM providers · Browse ZIP 87740
Phone
5754458370
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in RATON, NM

Name Credential NPI
TROY L WILSON DDS, PC 1669461117
DR. CHARLES JAMES BUTTRAM JR. D.D.S. 1629114384
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.