Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY ALAN WILSON, DDS
ActiveDR. GARY ALAN WILSON, DDS is a General Dentistry healthcare provider located in POLACCA, Arizona. NPI 1285635946 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · POLACCA, AZ
Registration Details
- NPI Number
- 1285635946
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2005 (21.04657361073 yrs)
- Last Updated
- Aug 8, 2012
- License
-
104357 (CO)
Practice Information
- Address
-
HIGHWAY 264, MILEPOST 388POLACCA, AZ, 860426042Browse AZ providers · Browse ZIP 86042
- Phone
- 9287376000
- Fax
- 9287376168
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in POLACCA, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. MARGARET ANN QUILLER | DDS | 1528069028 |
| DR. MARY BETH JOHNSON | DDS | 1437292570 |
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.