DR. JACK WILSON


Address: 12320 N 32nd St, Suite 1, Phoenix, AZ 85032-7154
Phone: 6029921384

DR. JACK WILSON (NPI# 1316002314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316002314
Entity Type Individual
Full Name DR. JACK WILSON
Credential DMD
Practice Address 12320 N 32nd St
Suite 1
Phoenix
AZ 85032-7154
Mailing Address 29452 N 49th Way
Cave Creek
AZ 85331-3323
Practice Telephone 6029921384
Practice Fax Number 6029926104
Mailing Telephone 4802624412
Enumeration Date 2006-12-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist D6410 AZ Dental Providers

Other Providers JACK WILSON

NPI Name Taxonomy Address Enumeration
1114241239 Jack H Wilson Counselor 11730 Highway 9 West, Stigler, OK 74462 2010-03-18
1821122102 Jack A. Wilson Dentist 2200 Interstate 20 W Ste 200, Arlington, TX 76017-1649 2007-03-16
1396806519 Jack Wilson Pharmacist 8823 Avenue L, Brooklyn, NY 11236-4781 2006-12-12
1790756542 Jack Edward Wilson Surgery 3 Walnut St Ste 100, Lemoyne, PA 17043 2006-01-30
1518941517 Jack Cook Wilson Family Medicine 612 E 9th St, Mountain Home, AR 72653-4804 2005-12-02
1356349559 Jack Kenney Wilson Jr. Internal Medicine 637 S Kerr Ave, Wilmington, NC 28403-8423 2005-07-12
1043216807 Jack Anthony Wilson Dental Hygienist 2654 Stacey Way, National City, CA 91950-7760 2005-06-24
1497949929 Jack L Wilson Dentist 1721 S Cleveland Ave, Suite 100, Sioux Falls, SD 57103-5501 2007-08-28
1598774465 Jack W. Wilson Dentist 534 Luzerne St, Mount Ida, AR 71957-9449 2006-08-07
1033125299 Jack M Wilson Emergency Medicine 6655 Alvarado Rd, San Diego, CA 92120-5208 2006-07-31

Office Location

Street Address 12320 N 32ND ST
SUITE 1
City PHOENIX
State AZ
Zip Code 85032-7154

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811952286 Rowe & Associates Dentist 12320 N 32nd St, Ste 4, Phoenix, AZ 85032 2006-04-19
1881140531 Brett A Dameron Dds Inc Dentist 12320 N 32nd St, Suite #1, Phoenix, AZ 85032-7154 2016-08-31
1689739674 Brett A Dameron Dentist 12320 N 32nd St, Suite 1, Phoenix, AZ 85032-7154 2006-12-27
1801951801 Michelle Sauter Dental Hygienist 12320 N 32nd St, Suite 1, Phoenix, AZ 85032-7154 2006-12-27
1477618478 Brenda Chavez Dental Hygienist 12320 N 32nd St, Suite 1, Phoenix, AZ 85032-7154 2006-12-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689298838 Eboni Nicole Morris Psychologist 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 2020-06-03
1326688573 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 2020-01-15
1740836642 Integrated Medical Services Inc Internal Medicine 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 2019-08-15
1639739576 Sarah Martin Physical Therapy Assistant Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 2019-06-13
1750846168 Conte Sport Performance Therapy LLC Physical Therapist 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 2019-02-11
1659848208 Pacific Dental Services Foundation Physician Assistant 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 2018-10-31
1083100812 Phoenix Interventional Pain Management, Pllc Anesthesiology 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 2018-07-04
1770074635 Np Professional LLC Clinic/Center 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 2018-05-25
1932600020 North Phoenix Asc LLC Clinic/Center 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 2018-02-23
1396263307 Cheryl Anne Miller Registered Nurse 15002 N. 32nd St., Phoenix, AZ 85032 2017-08-30
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851990444 Shaveta Behl Dentist 320 E Mcdowell Rd Ste 221, Phoenix, AZ 85004-4516 2020-10-23
1083212575 Rasha Adil Abduljabbar Al-kaabi Dentist 4750 E Union Hills Dr Apt 1076, Phoenix, AZ 85050-3366 2020-10-15
1912510678 Nicholas Ahn Dentist 1550 E Campbell Ave Apt 3028, Phoenix, AZ 85014-4271 2020-08-24
1326659087 Triple Eight Dental Group, Pllc Dentist 7910 W Thomas Rd Ste 118, Phoenix, AZ 85033-4830 2020-08-14
1376154450 Hatcher Dental Studio Dentist 421 W Hatcher Rd # 101, Phoenix, AZ 85021-2455 2020-08-12
1811515885 Robert James Koch Dentist 2236 W Bethany Home Rd Ste 1, Phoenix, AZ 85015-1934 2020-07-07
1093332454 James Dang Dentist 2777 E Camelback Rd Ste 101, Phoenix, AZ 85016-4348 2020-07-01
1639700735 Swiss Biologic Dentistry, LLC Dentist 4202 N 32nd St Ste A, Phoenix, AZ 85018-4764 2020-01-28
1194370403 Rajas Milind Pradhan Dentist 4201 E Bell Rd, Phoenix, AZ 85032-2211 2019-08-04
1396398806 Aman Kaur Dentist 3320 W Southern Ave Ste 111, Phoenix, AZ 85041-4307 2019-07-23
Find all providers in PHOENIX

Competitor

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City PHOENIX
Zip Code 85032

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Dataset Information

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.

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