NPI 1952403891 GORDON K WILSON DDS PHOENIX AZ. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Gordon K Wilson - NPI: 1952403891

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: GORDON K WILSON
NPI Number: 1952403891
Entity Type Code: Individual (1)
Gender: M
Credentials: DDS
License Number: D4598
Business Practice Address: 18325 N Allied Way
Suite 115 Phoenix, AZ - 850543105
Business Phone Number: 4806614867
Business Fax Number: 4806611266
Mailing Address: 18325 N Allied Way, Suite 115
PHOENIX
State: AZ
Postal Code: 850543105
Phone Number: 4806614867
Fax Number: 4806611266
NPI Enumeration Date: 09/01/2006
NPI Last Update Date: 01/21/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223G0001X
License Number: D4598
Healthcare Provider Taxonomy:
(Secondary)
Y
State: AZ
Taxonomy Type: Dental Providers
Taxonomy Classification: Dentist
Taxonomy Specialization: General Practice
Taxonomy 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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