Individual Healthcare Provider
Jarell Lamonz Wilson, D.D.S.
Provider's NPPES record last updated: June 12, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1336694116
- Primary Specialty
- Dentist — Pediatric Dentistry
- Practice Location
- Peridot, Arizona
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 8:35 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Pediatric Dentistry
Dental Providers
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Taxonomy code 1223P0221X Dentist
Dental Public Health
Dental Providers
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Taxonomy code 1223D0001XDentist
General Practice
Dental Providers
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.
Taxonomy code 1223G0001X
Provider-Reported License Information
- Dentist (Arizona)
- D010564
- Dentist (Arizona)
- D010564
- Dentist (New York)
- 059461
- Dentist (Florida)
- DN31327
Practice Locations
Practice Location
103 Medicine Way Rd
Peridot, Arizona 85542-5000
Phone: (928) 475-1495
Additional Practice Location
1934 E Camelback Rd Ste 110
Phoenix, Arizona 85016-4136
Phone: (602) 833-2564
Additional Practice Location
360 S Mellonville Ave
Sanford, Florida 32771-1453
Phone: (480) 492-1059
Record Information
- Enumeration Date
- August 22, 2016
- Provider's NPPES Record Last Updated
- June 12, 2026
- Certification Date
- June 12, 2026
- NPISignal NPPES Dataset
- August 2026
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