Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack Wilson, DMD

Individual provider Dentist · NPI 1316002314

Dr. Jack Wilson, DMD is a Dentist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

12320 N 32nd St Ste 1
Phoenix, AZ 85032-7154
Phone: (602) 992-1384
Fax: (602) 992-6104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D6410 (AZ)

Record details

NPI number1316002314
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedDecember 27, 2006
Last updated in NPPESJuly 8, 2007
Mailing address29452 N 49th Way, Cave Creek, AZ 85331-3323

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