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DR. JACK WILSON DMD
NPI 1316002314
Dentist in Phoenix, AZ

Active since December 27, 2006
12320 N 32ND ST, SUITE 1, PHOENIX, AZ 85032(602) 992-1384(602) 992-6104 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack Wilson Dmd NPPES

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

DR. JACK WILSON DMD (NPI 1316002314) is an individual dentist in Phoenix, Arizona, licensed in Arizona (D6410) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1316002314
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACK WILSONCredential: DMD
Location Address12320 N 32ND ST, SUITE 1Phoenix, AZ 85032-7154
Mailing Address29452 N 49th WayCave Creek, AZ 85331-3323 · (480) 262-4412
Phone(602) 992-1384
Fax(602) 992-6104
Sole ProprietorYes
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316002314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D6410
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.
12320 N 32ND ST, Phoenix, AZ 85032
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Other Providers at the Same Location NPPES 5

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

BRENDA CHAVEZ RDH
Dental Hygienist
12320 N 32ND ST, SUITE 1
PHOENIX, AZ 85032
Maricopa County (602) 992-1384
DR. BRETT A DAMERON DDS
Dentist (General Practice)
12320 N 32ND ST, SUITE 1
PHOENIX, AZ 85032
Maricopa County (602) 992-1384
MRS. MICHELLE SAUTER RDH
Dental Hygienist
12320 N 32ND ST, SUITE 1
PHOENIX, AZ 85032
Maricopa County (602) 992-1384
ROWE & ASSOCIATES
Dentist (General Practice)
12320 N 32ND ST, STE 4
PHOENIX, AZ 85032
Maricopa County (602) 867-7748
BRETT A DAMERON DDS INC
Dentist (General Practice)
12320 N 32ND ST, SUITE #1
PHOENIX, AZ 85032
Maricopa County (602) 992-1384

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 Jack Wilson's NPI number?

The NPI number for Jack Wilson is 1316002314. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Jack Wilson located?

Jack Wilson practices at 12320 N 32nd St Suite 1, Phoenix, AZ 85032. The listed phone number is (602) 992-1384.

What is Jack Wilson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jack Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.