Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK WILSON, DMD
Active Sole ProprietorDR. JACK WILSON, DMD is a Dentist healthcare provider located in PHOENIX, Arizona. NPI 1316002314 is currently active in the NPPES registry. Verify at CMS.
Dentist · PHOENIX, AZ
Registration Details
- NPI Number
- 1316002314
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2006 (19.633918251441 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D6410 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12320 N 32ND STSUITE 1PHOENIX, AZ, 850327154Browse AZ providers · Browse ZIP 85032
- Phone
- 6029921384
- Fax
- 6029926104
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. DARWIN N. DAVIS | D.D.S. | 1437156080 |
| MOHAMED N KARAWI | D.D.S | 1437156106 |
| BETH HAMANN | D.D.S. | 1609875020 |
| DR. BENJAMIN MARK BERSCHLER | D.M.D. | 1013918135 |
| DR. SAMANTHA CALLAHAN | D.D.S. | 1851383848 |
| JOHN WILLIAM DOVGAN | DDS | 1124011358 |
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.