SPENCER G WILSON DDS PC (NPI# 1013192913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013192913 |
| Entity Type | Organization |
| Organization Name | SPENCER G WILSON DDS PC |
| Practice Address |
1355 S Higley Rd Ste 106 Gilbert AZ 85296-4799 |
| Practice Telephone | 4802795949 |
| Practice Fax Number | 4802790784 |
| Mailing Telephone | 4802795949 |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |
| Authorized Official Name | DR. SPENCER G WILSON (PRESIDENT) |
| Authorized Official Telephone | 4802795949 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D0020739 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 502262 | 05 |
| Street Address |
1355 S HIGLEY RD STE 106 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-4799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1952578411 | David Andrew Benson | Dentist | 2680 S Val Vista Dr Ste 164, Gilbert, AZ 85295-1638 | 2008-05-14 |
| 1790986099 | Peter Anderson Spanganberg | Dentist | 7400 S. Power Rd, Suite 136, Gilbert, AZ 85297 | 2007-05-31 |
| 1396883765 | Andrew Petersen | Dentist | 7400 S Power Rd Ste 136, Gilbert, AZ 85297-9284 | 2007-02-01 |
| 1790333672 | Benjamin Zuniga Dds LLC | Dentist | 33 N Lindsay Rd Ste 101, Gilbert, AZ 85234-5808 | 2019-09-03 |
| 1316324031 | Paul Kelly Maxillofacial PC | Dentist | 726 N Greenfield Rd, Suite #117, Gilbert, AZ 85234-5061 | 2015-05-01 |
| 1205063567 | Brett Wayne Barlow | Dentist | 3329 E Baseline Rd, Gilbert, AZ 85234-2633 | 2009-06-15 |
| 1700020146 | Donovan Hansen | Dentist | 3329 E Baseline Rd, Gilbert, AZ 85234-2633 | 2009-04-29 |
| 1962587394 | Brian A Lilien | Dentist | 2730 S Val Vista Dr, Suite 164, Gilbert, AZ 85295-1675 | 2006-10-25 |
| 1386676922 | Spencer Grant Wilson | Dentist | 1355 S Higley Rd, 106, Gilbert, AZ 85296-4799 | 2006-07-06 |
| Find all providers in GILBERT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.