Gary Alan Wilson, DDS
General Practice Dentistry · Polacca, AZ
Practice location
Highway 264, Milepost 388Polacca, AZ 86042-6042
- Phone
- (928) 737-6000
- Fax
- (928) 737-6168
NPI record
- NPI
- 1285635946
- Entity type
- Individual (Type 1)
- Enumeration date
- August 3, 2005
- Last updated
- August 8, 2012
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
104357 | CO |
Mailing address
Highway 264, MP 388Polacca, AZ 86042
- Phone
- (928) 737-6000
- Fax
- (928) 737-6168
About Dr. Wilson
Gary Alan Wilson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is Highway 264, Milepost 388, Polacca, AZ 86042-6042. The NPI number 1285635946 was assigned on August 3, 2005 and the record was last updated on August 8, 2012.
Dr. Wilson lists a license in the registry: #104357 (CO) 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 Alan Wilson, DDS?
The NPI number is 1285635946.
What is the phone number of Dr. Wilson?
The phone number listed for the practice location is (928) 737-6000.
Where is Dr. Wilson located?
Highway 264, Milepost 388, Polacca, AZ 86042-6042.
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 Polacca
- Mary Beth Johnson, DDSHwy 264, MP 388
- Margaret Ann Quiller, DDSHighway 264, MP 388