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Search › Arizona › 122300000X

Jack Wilson, DMD

NPI 1316002314 · on the registry since 2006 · sole proprietor

Practice

Address
12320 N 32nd St
Suite 1
Phoenix, AZ 85032
Phone
(602) 992-1384
Fax
(602) 992-6104
Organisation at this address
Dental Hearts
Rowe & Associates
Aria Dental Center Llc
Brett A Dameron Dds Inc
Purely Dental Surgery Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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