Gary L Wilson is a General Practice in Provo, Utah. Gary L Wilson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gary L Wilson is 1164589743. The last update date is 2007-07-08.
Gary L Wilson's current location address is 1355 N University Ave Ste 310, Provo, Utah. You can contact this provider via phone number 8013704040. The mailing address for Gary L Wilson is 1355 N University Ave Ste 310, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gary L Wilson |
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Address | 1355 N University Ave Ste 310, Provo, Utah |
Phone Number | 8013704040 |
Fax Number | |
Sole Proprietor | Y |
Credentials | D.M.D. |
NPI Number Detail
NPI Number | 1164589743 |
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Provider Enumeration Date | 2007-01-02 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1355 N University Ave Ste 310 |
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City | Provo |
State | Utah (UT) |
Post Code | 846042721 |
Phone Number | 8013704040 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 276251-9922 |
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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What is the Gary L Wilson's 1164589743?
The Gary L Wilson's NPI (National Provider Identifier) Number is 1164589743. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gary L Wilson located?
The Gary L Wilson is located at 1355 N University Ave Ste 310, Provo, UT 846042721.
What is Gary L Wilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary L Wilson's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Gary L Wilson receive the assignment of its 1164589743 from the Centers for Medicare & Medicaid Services?
The Gary L Wilson was issued its 1164589743 by the Centers for Medicare & Medicaid Services on 2007-01-02.
When was the information regarding Gary L Wilson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gary L Wilson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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