Spencer Grant Wilson in Gilbert - Oral And Maxillofacial Surgery
Spencer Grant Wilson - NPI 1386676922
Spencer Grant Wilson is a Oral And Maxillofacial Surgery in Gilbert, Arizona. Spencer Grant Wilson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Spencer Grant Wilson is 1386676922. The last update date is 2007-07-13.
Spencer Grant Wilson's current location address is 1355 S Higley Rd, Gilbert, Arizona. You can contact this provider via phone number 4802795949 and fax number 4802790784. The mailing address for Spencer Grant Wilson is 1355 S Higley Rd, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Spencer Grant Wilson |
|---|---|
| Address | 1355 S Higley Rd, Gilbert, Arizona |
| Phone Number | 4802795949 |
| Fax Number | 4802790784 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1386676922 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 1355 S Higley Rd |
|---|---|
| City | Gilbert |
| State | Arizona (AZ) |
| Post Code | 852964799 |
| Phone Number | 4802795949 |
| Fax Number | 4802790784 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D0020739 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 502262 | AZ | -- |
Post Comment/ Review Below
What is the Spencer Grant Wilson's unique identification number?
The Spencer Grant Wilson has been assigned the NPI (National Provider Identifier) Number 1386676922 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Spencer Grant Wilson's facilities are geographically located?
The facilities of Spencer Grant Wilson are physically situated at the following location: 1355 S Higley Rd, Gilbert, AZ, 852964799.
What is Spencer Grant Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Spencer Grant Wilson's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1386676922 to Spencer Grant Wilson?
The Centers for Medicare & Medicaid Services assigned the 1386676922 to Spencer Grant Wilson on 2006-07-06.
As of what date was the information pertaining to Spencer Grant Wilson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Spencer Grant Wilson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-13.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA