Gary L. Wilson, D.M.D.
General Practice Dentistry · Provo, UT
Practice location
1355 N University Ave Ste 310Provo, UT 84604-2721
- Phone
- (801) 370-4040
NPI record
- NPI
- 1164589743
- Entity type
- Individual (Type 1)
- Enumeration date
- January 2, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
276251-9922 | UT |
About Dr. Wilson
Gary L. Wilson, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1355 N University Ave Ste 310, Provo, UT 84604-2721. The NPI number 1164589743 was assigned on January 2, 2007 and the record was last updated on July 8, 2007.
Dr. Wilson lists a license in the registry: #276251-9922 (UT) 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 Gary L. Wilson, D.M.D.?
The NPI number is 1164589743.
What is the phone number of Dr. Wilson?
The phone number listed for the practice location is (801) 370-4040.
Where is Dr. Wilson located?
1355 N University Ave Ste 310, Provo, UT 84604-2721.
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.
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