NPI 1013192913

Spencer G Wilson DDS PC

Organisation Oral and Maxillofacial Surgery (Dentist) Gilbert, AZ

Practice location

Address: 1355 S Higley Rd STE 106, Gilbert, AZ 85296-4799
Phone: (480) 279-5949
Fax: (480) 279-0784

Authorised official

Name: Spencer G Wilson
Title: President
Phone: (480) 279-5949

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence D0020739 (AZ)

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Registry record

NPI: 1013192913
Entity type: Organization
NPI issued: 9 Jan 2008
Record last updated: 9 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.