Gary Michael Gwilt, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9110 Issued in AZ

Practice address

13660 N 94TH Dr Ste B1
Peoria, AZ 85381-4848

Phone

(623) 200-5605

Fax

(623) 226-8942

NPI assigned

Apr 4, 2013

Last updated

Feb 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tooth Corps PLLC

  dba Platinum Dental Az

  • Dental Clinic/Center
  • Peoria, AZ
  • NPI 1700490992
  NPD Authorized official
• Arthurs Dental of Phoenix PLLC

  dba Dental Depot Bell Station

  • Dentist
  • Phoenix, AZ
  • NPI 1265791875
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1851634133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR STE B1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814848",
            "telephone_number": "623-200-5605",
            "fax_number": "623-226-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR STE B1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814848",
            "telephone_number": "623-200-5605",
            "fax_number": "623-226-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWILT",
        "first_name": "GARY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D9110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@toothcorps.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13660 N 94th Dr Ste B1",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853814848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ryelle Gunyan
• James Shiu-Kuo Gutcho, MD
• Amber Dawn Gutierrez, MSN, APRN, FNP-BC
• Andrea Gutierrez, LAT, ATC
• Samantha Gutierrez2, SLP-A
• Keith J Haar, MD
• Lisa Haarer, DPT
• Paul D Haas, MD
• William M Haas, D.C.
• Ernest K Hacka, PHARMD

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.