Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285635946 Individual Practitioner Male Practitioner

Dr. Gary Alan Wilson , DDS

Dentist - General Practice • Polacca, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Gary Wilson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Polacca, AZ. Practice services are available at HIGHWAY 264, MILEPOST 388 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Highway 264, Milepost 388

Polacca, AZ 860426042

Telephone 9287376000
Fax 9287376168
Associated Practice Facility / Clinic
🏢 Dhhs Ihs Phoenix Area Facility NPI 1356628028

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Polacca, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Polacca, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 104357

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Carynn Sakeva

Technician

NPI 1003293051
NPI 1013055672

Doctor of Medicine (M.D.)

Lisa Duncan

Internal Medicine

NPI 1033793229
Dr. Claudia Von Hendricks , DDS

Dentist - Dental Public Health

NPI 1043348246

Doctor of Dental Surgery

Rochelle Snyder , RN

Registered Nurse

NPI 1043504210

Registered Nurse

Zina Shadfar

Registered Nurse - Medical-Surgical

NPI 1053034017

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 08, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2012

Registered at HIGHWAY 264, MILEPOST 388, POLACCA, AZ 860426042 (Tel: 9287376000)

📍
Updated Business Mailing Address August 08, 2012

Registered at HIGHWAY 264, MP 388, POLACCA, AZ 86042 (Tel: 9287376000)

👤
Provider Name / Credentials Updated August 08, 2012

Recorded as GARY WILSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2012

Dentist (License #104357 in CO)

🟢
Initial NPI Registration & Enumeration August 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285635946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2005
Last Update: August 08, 2012
Sole Proprietor: No

Mailing Address

Highway 264, Mp 388

Polacca, AZ 86042

Phone: 9287376000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.