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Jack Wilson, DMD
NPI 1316002314 · Dentist · Phoenix, AZ
Jack Wilson, DMD is a Dentist provider in Phoenix, AZ (NPI 1316002314).
Provider details
- NPI number
- 1316002314
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- D6410 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
12320 N 32nd St
Suite 1
Phoenix, AZ 85032-7154
Phone: (602) 992-1384
Fax: (602) 992-6104
Street-level locationGet directions
Mailing address
29452 N 49th Way
Cave Creek, AZ 85331-3323
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jack Wilson's NPI number?
- Jack Wilson's National Provider Identifier (NPI) is 1316002314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Wilson's specialty?
- Jack Wilson is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jack Wilson located?
- Jack Wilson's practice location on file with NPPES is 12320 N 32nd St, Phoenix, AZ 85032-7154.
- What is Jack Wilson's phone number?
- The practice phone number listed in the NPPES registry for Jack Wilson is (602) 992-1384.
- Is Jack Wilson's NPI active?
- Yes — Jack Wilson's NPI (1316002314) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.