SearchArizonaGeneral Practice Dentistry

Gary Wilson, DDS

NPI 1285635946 · on the registry since 2005

Practice

Address
Highway 264, Milepost 388
Polacca, AZ 86042
Phone
(928) 737-6000
Fax
(928) 737-6168
Organisation at this address
Dhhs Ihs Phoenix Area
Dhhs Ihs Phoenix Area
Dhhs Ihs Phoenix Area
Hopi Health Care Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona