SearchArizonaPediatric Dentistry

Jarell Wilson, D.D.S

NPI 1336694116 · on the registry since 2016 · sole proprietor

Practice

Address
103 Medicine Way Rd
Peridot, AZ 85542
Phone
(928) 475-1495
Organisation at this address
Akdhc, Llc
Dhhs Ihs Phoenix Area
San Carlos Apache Healthcare Corporation
San Carlos Apache Healthcare Corporation
San Carlos Apache Healthcare Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
52

Additional practice sites

  • 1934 E Camelback Rd Ste 110, Phoenix, AZ
  • 360 S Mellonville Ave, Sanford, FL

Registry record

Primary taxonomy
Pediatric Dentistry
1223P0221X
Also registered as
Public Health Dentistry
General Practice Dentistry
Pediatric Dentistry
Licence states on file
AZ, NY, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-12

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