Individual provider · Type 1 NPI

Jarell Lamonz Wilson, DDS

Pediatric Dentistry · Peridot, AZ

NPI number 1336694116 Active

Practice location

103 Medicine Way Rd
Peridot, AZ 85542-5000

Call (928) 475-1495 Map

Mailing address

360 S Mellonville Ave
Sanford, FL 32771-1453

Other practice locations

  • 1934 E Camelback Rd Ste 110, Phoenix, AZ 85016-4136 · (602) 833-2564
  • 360 S Mellonville Ave, Sanford, FL 32771-1453 · (480) 492-1059

Specialties and licenses

TaxonomyCodeLicense
Public Health Dentistry 1223D0001XD010564 (AZ)
General Practice Dentistry 1223G0001X059461 (NY)
Pediatric Dentistry 1223P0221XDN31327 (FL)
Pediatric Dentistry Primary 1223P0221XD010564 (AZ)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

41 other providers at this address

About NPI 1336694116

Jarell Lamonz Wilson, DDS's National Provider Identifier is 1336694116, issued on Aug 22, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Peridot, AZ. The record was last updated on Jun 12, 2026.