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Dr. Gary L Wilson, DMD
General Practice Dentistry in Provo, Utah
NPI 1164589743

Gary L Wilson is a General Practice Dentistry based in Provo, UT and is specialized in General Practice. Gary L Wilson practices in Provo, UT and has the professional credentials of DMD. The NPI Number for Gary L Wilson is 1164589743 and holds a License No. 276251-9922 (Utah).

The current practice location address for Gary L Wilson is 1355 N University Ave Ste 310, Provo, UT and can be reached out via phone at 801-370-4040. You can also correspond with Gary L Wilson through the mailing address at 1355 N UNIVERSITY AVE STE 310, PROVO, UT - 84604-2721 (mailing address contact number: 801-370-4040).

Location: 1355 N University Ave Ste 310, Provo, UT, 84604-2721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164589743
Provider Name
Gary L Wilson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1355 N University Ave Ste 310, Provo, UT, 84604-2721
Phone Number
801-370-4040
Fax Number
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1355 N University Ave Ste 310
City
Provo
State
Utah
Zip
84604-2721
Phone Number
801-370-4040
Fax Number
person
Provider Business Mailing Address Details
Address
1355 N University Ave Ste 310
City
Provo
State
Utah
Zip
84604-2721
Phone Number
801-370-4040
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
276251-9922 (Utah)
Definition
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.
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