DR. GORDON K WILSON (NPI# 1588684450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588684450 |
| Entity Type | Individual |
| Full Name | DR. GORDON K WILSON |
| Credential | DDS |
| Practice Address |
522 Finnie Flat Rd Ste J Camp Verde AZ 86322 |
| Mailing Address |
Po Box 788 Camp Verde AZ 86322 |
| Practice Telephone | 9285675249 |
| Mailing Telephone | 9285675249 |
| Mailing Fax Number | 9285670430 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
933 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477793271 | Gordon Bruce Wilson | Counselor | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-03-06 |
| 1952403891 | Gordon K Wilson | Dentist | 18325 N Allied Way, Suite 115, Phoenix, AZ 85054-3105 | 2006-09-01 |
| Street Address |
522 FINNIE FLAT RD STE J |
| City | CAMP VERDE |
| State | AZ |
| Zip Code | 86322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244234 | Aileen Green | Specialist/Technologist | Camp Verde Elementary, 200 Camp Lincoln Rd, Camp Verde, AZ 86322 | 2020-10-29 |
| 1295358083 | Michelle Thu Nguyen | Dentist | 1996 Doug's Park Rd., Camp Verde, AZ 86322 | 2020-05-27 |
| 1982140372 | Kelly Michaud Ayotte | Nurse Practitioner | 885 S. Peach Lane, Camp Verde, AZ 86322 | 2017-01-10 |
| 1508225301 | Jennifer Lynn Wolf | Specialist/Technologist | 253 E Stolen Blvd, Camp Verde, AZ 86322 | 2016-02-22 |
| 1700288792 | Ramiro Lambaria IIi | Dentist | 1996 Doug's Park Rd, Camp Verde, AZ 86322 | 2014-09-22 |
| 1457768459 | Tammy Sue Oothoudt | Psychiatric Residential Treatment Facility | 1140 South Little Fox Trail, Camp Verde, AZ 86322 | 2014-07-22 |
| 1669798146 | Camp Verde Family Chiropractic & Wellness Center Inc. | Chiropractor | 564 Main Street Suite #108, Camp Verde, AZ 86322 | 2010-04-09 |
| 1841522869 | Kyle Earl French | Chiropractor | 564 S Main Street, Suite 108, Camp Verde, AZ 86322 | 2010-02-01 |
| 1386871440 | Kadeen Mansor | Physical Therapist | 6345 S Cedar Springs St, Camp Verde, AZ 86322 | 2009-06-16 |
| 1811146574 | Karin M. Hauenstein | Social Worker | 449 Sixth Street, Camp Verde, AZ 86322 | 2008-09-17 |
| Find all providers in zip 86322 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447814199 | Copper Canyon Family Dental | Dentist | 26 W Salt Mine Rd, Camp Verde, AZ 86322-7170 | 2019-04-29 |
| 1124169669 | Ronald Glen Wright | Dentist | 26a Salt Mine Road, Camp Verde, AZ 86322-0950 | 2007-02-09 |
| 1710903299 | Eric Pettersen | Dentist | 522 W Finnie Flats Rd, Ste J, Camp Verde, AZ 86322-7265 | 2006-07-15 |
| 1992037857 | Verde Dental Care, LLC | Dentist | 522 W Finnie Flats Rd, Ste J, Camp Verde, AZ 86322-7265 | 2010-02-03 |
| 1134265275 | Randy Reasch | Dentist | 2121 West Reservation Loop Road, Camp Verde, AZ 86322-8412 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376616 | Arizona Dental Professionals, P.C. | Dentist | 37591 N Gantzel Rd, San Tan Valley, AZ 85140-7376 | 2020-11-05 |
| 1851992879 | Arizona Dental Professionals, P.C. | Dentist | 1177 S Watson Rd Ste 107, Buckeye, AZ 85326-3465 | 2020-11-05 |
| 1609475060 | Happy Molar Dental LLC | Dentist | 67 N Dobson Rd Ste A-104, Mesa, AZ 85201-6822 | 2020-10-18 |
| 1679171151 | Diana Kim | Dentist | 15128 W Bell Rd Ste 12, Surprise, AZ 85374-2451 | 2020-10-15 |
| 1366040057 | Hdp Casa Grande Dental LLC | Dentist | 1968 N Peart Rd Ste 22, Casa Grande, AZ 85122-2497 | 2020-10-14 |
| 1871191197 | Dentalpros, LLC | Dentist | 225 E Valencia Rd Ste 135, Tucson, AZ 85706-6866 | 2020-10-09 |
| 1457958928 | Eesha Katarya | Dentist | 1060 S Harrison Rd Ste 110, Tucson, AZ 85748-6603 | 2020-10-07 |
| 1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
| 1598362105 | Sona Dds PC | Dentist | 995 E Ocotillo Rd Ste 3, Chandler, AZ 85249-3111 | 2020-10-06 |
| 1205441136 | Maryvale Dental Studio | Dentist | 7614 W Indian School Rd # 2, Phoenix, AZ 85033-3035 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | CAMP VERDE |
| Zip Code | 86322 |
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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.