Individual provider · Type 1 NPI

Spencer Grant Wilson, DDS

Oral and Maxillofacial Surgery (Dentist) · Gilbert, AZ

NPI number 1386676922 Active

Practice location

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

Call (480) 279-5949 Map

Fax (480) 279-0784

Specialties and licenses

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

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 1386676922

Spencer Grant Wilson, DDS's National Provider Identifier is 1386676922, issued on Jul 6, 2006. 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 Jul 13, 2007.