Individual provider · Type 1 NPI
Gary Alan Wilson, DDS
General Practice Dentistry · Polacca, AZ
NPI number
1285635946
Active
Practice location
Highway 264, Milepost 388
Polacca, AZ 86042-6042
Fax (928) 737-6168
Mailing address
Highway 264, Mp 388
Polacca, AZ 86042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 104357 (CO) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2 other providers at this address
Other general practice dentistry providers in Polacca
About NPI 1285635946
Gary Alan Wilson, DDS's National Provider Identifier is 1285635946, issued on Aug 3, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Polacca, AZ. The record was last updated on Aug 8, 2012.