DR. SPENCER GRANT WILSON (NPI# 1386676922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386676922 |
Entity Type | Individual |
Full Name | DR. SPENCER GRANT WILSON |
Credential | D.D.S. |
Practice Address |
1355 S Higley Rd 106 Gilbert AZ 85296-4799 |
Practice Telephone | 4802795949 |
Practice Fax Number | 4802790784 |
Mailing Telephone | 4802795949 |
Mailing Fax Number | 4802790784 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2007-07-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D0020739 | TX | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 502262 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003310301 | Spencer Wilson | Student in an Organized Health Care Education/Training Program | 1 Boston Medical Ctr Pl Ste 1, Boston, MA 02118-2999 | 2018-03-21 |
1952618142 | Spencer William Wilson | Dentist | 5005 N Piedras St, El Paso, TX 79920-5001 | 2010-09-09 |
1679731046 | Spencer Allison Wilson | Internal Medicine | 8424 Naab Rd, Suite 3j, Indianapolis, IN 46260-5918 | 2008-06-01 |
Street Address |
1355 S HIGLEY RD 106 |
City | GILBERT |
State | AZ |
Zip Code | 85296-4799 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124076005 | Steven Earl Springborn | Physical Therapist | 1355 S Higley Rd, Suite 101, Gilbert, AZ 85296-4799 | 2006-05-04 |
1023558863 | Karen A Willfahrt | Naturopath | 1355 S Higley Rd, Suite 113, Gilbert, AZ 85296-4799 | 2017-02-27 |
1104281013 | Smiles By Hanna Pllc | Dentist | 1355 S Higley Rd, #119, Gilbert, AZ 85296-4799 | 2015-12-18 |
1215327507 | Kerr Endodontics, P.C. | Dentist | 1355 S Higley Rd, Suite 116, Gilbert, AZ 85296-4799 | 2015-01-26 |
1972844173 | Paige Hodges | Specialist/Technologist | 1355 S Higley Rd, Suite 111, Gilbert, AZ 85296-4799 | 2013-03-13 |
1588903280 | Rebecca Marie Lundquist | Occupational Therapy Assistant | 1355 S Higley Rd, Building 5, Suite 111, Gilbert, AZ 85296-4799 | 2013-01-31 |
1376888925 | Elizabeth Anne Johnson | Music Therapist | 1355 S Higley Rd, Building 5, Suite 111, Gilbert, AZ 85296-4799 | 2012-12-09 |
1225372683 | Lynette Hill | Behavioral Analyst | 1355 S Higley Rd, Suite 111, Gilbert, AZ 85296-4799 | 2012-11-24 |
1134473101 | Kristin Springborn | Occupational Therapist | 1355 S Higley Rd, Suite 101, Gilbert, AZ 85296-4799 | 2012-10-30 |
1285986075 | East Valley Urgent Care,llc | Clinic/Center | 1355 S Higley Rd, Ste 104, Gilbert, AZ 85298 | 2012-10-04 |
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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 |
1013192913 | Spencer G Wilson Dds PC | Dentist | 1355 S Higley Rd Ste 106, Gilbert, AZ 85296-4799 | 2008-01-09 |
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 |
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.