Gavin B. Wilson, DDS
General Practice Dentistry · Raton, NM
Practice location
217 York Canyon RdRaton, NM 87740-2008
- Phone
- (575) 445-8370
NPI record
- NPI
- 1013445386
- Entity type
- Individual (Type 1)
- Enumeration date
- May 31, 2017
- Last updated
- May 31, 2017
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DD4693 | NM |
About Dr. Wilson
Gavin B. Wilson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 217 York Canyon Rd, Raton, NM 87740-2008. The NPI number 1013445386 was assigned on May 31, 2017 and the record was last updated on May 31, 2017.
Dr. Wilson lists a license in the registry: #DD4693 (NM) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Gavin B. Wilson, DDS?
The NPI number is 1013445386.
What is the phone number of Dr. Wilson?
The phone number listed for the practice location is (575) 445-8370.
Where is Dr. Wilson located?
217 York Canyon Rd, Raton, NM 87740-2008.
What is the taxonomy code for Dr. Wilson?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Dentistry providers in Raton
- Charles James Buttram Jr., D.D.S.162 Hospital Dr
- Troy L. Wilson, DDS, PC112 Grant Ave