IndividualActive
Gary Wilson, DDS
NPI 1285635946 · General Practice Dentistry · Polacca, AZ
Gary Wilson, DDS is a General Practice Dentistry provider in Polacca, AZ (NPI 1285635946).
Provider details
- NPI number
- 1285635946
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 104357 (CO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Highway 264, Milepost 388
Polacca, AZ 86042-6042
Phone: (928) 737-6000
Fax: (928) 737-6168
Approximate (ZIP-level) locationGet directions
Mailing address
Highway 264, Mp 388
Polacca, AZ 86042
Registry dates
- Enumerated
- 2005-08-03
- Last updated
- 2012-08-08
Frequently asked questions
- What is Gary Wilson's NPI number?
- Gary Wilson's National Provider Identifier (NPI) is 1285635946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Wilson's specialty?
- Gary Wilson is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Gary Wilson located?
- Gary Wilson's practice location on file with NPPES is Highway 264, Milepost 388, Polacca, AZ 86042-6042.
- What is Gary Wilson's phone number?
- The practice phone number listed in the NPPES registry for Gary Wilson is (928) 737-6000.
- Is Gary Wilson's NPI active?
- Yes — Gary Wilson's NPI (1285635946) is active in the NPPES registry as of the last update on 2012-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.