DR. GARY ALAN WILSON DDS
NPI 1285635946
Dentist - General Practice in Polacca, AZ

Q: What is Gary Wilson's NPI number?

The NPI number for Gary Wilson is 1285635946. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Q: What is Gary Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Gary Wilson was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 03, 2005

HIGHWAY 264, MILEPOST 388, POLACCA, AZ 86042(928) 737-6000(928) 737-6168 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gary Alan Wilson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY ALAN WILSON DDS (NPI 1285635946) is an individual general practice provider in Polacca, Arizona, licensed in Colorado (104357) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1285635946

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GARY ALAN WILSONCredential: DDS

Location AddressHIGHWAY 264, MILEPOST 388Polacca, AZ 86042-6042

Mailing AddressHighway 264, Mp 388Polacca, AZ 86042 · (928) 737-6000 · Fax (928) 737-6168

Phone(928) 737-6000

Fax(928) 737-6168

Sole ProprietorNo

Enumeration DateAugust 3, 2005

Last NPPES UpdateAugust 8, 2012

✔ NPI 1285635946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CO · 104357

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.

HIGHWAY 264, MILEPOST 388, Polacca, AZ 86042

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIK JEFF MARTIN MD

Emergency Medicine

HIGHWAY 264, MILEPOST 388
POLACCA, AZ 86042

Navajo County (928) 737-6000

MR. TROY LEON LOMAVAYA

Technician

HIGHWAY 264, MILEPOST 388
POLACCA, AZ 86042

Navajo County (928) 737-6000

MS. AMANDA TRACEY M.T.

Specialist/Technologist, Pathology (Laboratory Management)

HIGHWAY 264, MILEPOST 388, LABORATORY
POLACCA, AZ 86042

Navajo County (928) 737-6220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Wilson's NPI number?

The NPI number for Gary Wilson is 1285635946. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Gary Wilson located?

Gary Wilson practices at Highway 264, Milepost 388, Polacca, AZ 86042. The listed phone number is (928) 737-6000.

What is Gary Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gary Wilson was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.