Organization · Type 2 NPI

Spencer G Wilson DDS PC

Oral and Maxillofacial Surgery (Dentist) · Gilbert, AZ

NPI number 1013192913 Active

Practice location

1355 S Higley Rd Ste 106
Gilbert, AZ 85296-4799

Fax (480) 279-0784

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD0020739 (AZ)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1013192913

Spencer G Wilson DDS PC's National Provider Identifier is 1013192913, issued on Jan 9, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Gilbert, AZ. The record was last updated on Jan 9, 2008.