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Dr. Gary Alan Wilson, DDS
General Practice Dentistry in Polacca, Arizona
NPI 1285635946

Gary Alan Wilson is a General Practice Dentistry based in Polacca, AZ and is specialized in General Practice. Gary Alan Wilson practices in Polacca, AZ and has the professional credentials of DDS. The NPI Number for Gary Alan Wilson is 1285635946 and holds a License No. 104357 (Arizona).

The current practice location address for Gary Alan Wilson is Highway 264, Milepost 388, Polacca, AZ and can be reached out via phone at 928-737-6000 and via fax at 928-737-6168.

Location: Highway 264, Milepost 388, Polacca, AZ, 86042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285635946
Provider Name
Gary Alan Wilson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
Highway 264, Milepost 388, Polacca, AZ, 86042
Phone Number
928-737-6000
Fax Number
928-737-6168
Provider Enumeration Date
08/03/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Highway 264, Milepost 388
City
Polacca
State
Arizona
Zip
86042-6042
Phone Number
928-737-6000
Fax Number
928-737-6168
person
Provider Business Mailing Address Details
Address
Highway 264, Milepost 388
City
Polacca
State
Arizona
Zip
86042-6042
Phone Number
928-737-6000
Fax Number
928-737-6168
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
104357 (Colorado)
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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