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

DR. GARY L WILSON, D.M.D.

Active Sole Proprietor

DR. GARY L WILSON, D.M.D. is a General Dentistry healthcare provider located in PROVO, Utah. NPI 1164589743 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PROVO, UT

Registration Details

NPI Number
1164589743
Provider Type
Individual
Gender
Male
NPI Issued
Jan 2, 2007 (19.619895333251 yrs)
Last Updated
Jul 8, 2007
License
276251-9922 (UT)
Sole Proprietor
Yes

Practice Information

Address
1355 N UNIVERSITY AVE STE 310
PROVO, UT, 846042721
Browse UT providers · Browse ZIP 84604
Phone
8013704040
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in PROVO, UT

Name Credential NPI
DR. JEFFREY A YOUNGQUIST DDS 1699746529
DR. ADRIAN G. HUANG DMD 1902866114
DR. ERIC IVAN TIDWELL DDS 1932131562
DR. ALBERT BAXTER CLARK D.D.S. 1477571677
DR. QUINN J SCHIFFMAN DDS 1871506428
DR. RANDALL CLIFFORD HOBBS DDS 1558477208
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.