DR. DOUGLASS CHARLES WILSON (NPI# 1104959519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104959519 |
| Entity Type | Individual |
| Full Name | DR. DOUGLASS CHARLES WILSON |
| Credential | D.M.D |
| Practice Address |
69 Island St Ste Q Keene NH 03431-3507 |
| Practice Telephone | 6033520255 |
| Practice Fax Number | 6033526262 |
| Mailing Telephone | 6033520255 |
| Mailing Fax Number | 6033526262 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
22063 | MA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
016-0002204 | VT | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3428 | NH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 00000423 | 05 | |
| VT | 1009708 | 05 |
| Street Address |
69 ISLAND ST STE Q |
| City | KEENE |
| State | NH |
| Zip Code | 03431-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153443 | County of Cheshire | Case Manager/Care Coordinator | 12 Court Street, Finance Department, Keene, NH 03431 | 2020-10-29 |
| 1316506686 | Lynn Marie Noonan | Dental Hygienist | 69v Island Street, Keene, NH 03431 | 2019-06-11 |
| 1467925164 | Barbara B. Dematteo, Pt | Physical Therapist | 70 Island Street, Keene, NH 03431 | 2019-01-04 |
| 1275065591 | Kyle Harriman James | Emergency Medicine | 590 Court St., Keene, NH 03431 | 2017-03-28 |
| 1932584372 | Sarah Gornall | Occupational Therapist | 298 Main St., Keene, NH 03431 | 2015-07-28 |
| 1457748618 | Cassandra Curtis | Massage Therapist | 103 Roxbury Street, Suite # 200d, Keene, NH 03431 | 2015-04-24 |
| 1518354455 | Allen Penrod | Counselor | 170 Emerald Street, Suite 203, Keene, NH 03431 | 2015-04-17 |
| 1447652615 | Cheshire Health Services Inc | Clinic/Center | 149 Emerald St Ste L, Keene, NH 03431 | 2014-09-19 |
| 1053710541 | Louise Howlett | Marriage & Family Therapist | 19 Federal St., Keene, NH 03431 | 2014-08-20 |
| 1861816076 | Christine Fleming | Physical Therapy Assistant | 197 Water Street, Keene, NH 03431 | 2014-02-07 |
| Find all providers in zip 03431 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669694428 | Anna Elissa Zengel | Dentist | 105 West St, Keene, NH 03431-3374 | 2007-05-02 |
| 1326159609 | Dixon Orthodontics Pllc | Dentist | 69q Island St, Keene, NH 03431-3529 | 2006-08-31 |
| 1184903197 | Keene Orthodontic Specialists | Dentist | 105 West St, Keene, NH 03431-3374 | 2011-08-08 |
| 1295038073 | Lance Royden Russell Miller | Dentist | 105 West Street, Keene, NH 03431 | 2010-12-16 |
| 1245452010 | Keene Orthodontic Specialists, Pa | Dentist | 105 West St, Keene, NH 03431-3374 | 2007-05-02 |
| 1821210659 | Charles F Post | Dentist | 105 West St, Keene, NH 03431-3374 | 2007-05-02 |
| 1043321342 | Jeffrey Dixon | Dentist | 69q Island St, Keene, NH 03431-3529 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602287 | Nashua Dentistry and Braces Inc | Dentist | 375 Amherst St Ste 8, Nashua, NH 03063-1216 | 2020-06-01 |
| 1023657681 | Orthodontics Too, Pllc | Dentist | 7 State Route 101a Unit D, Amherst, NH 03031-3132 | 2019-12-31 |
| 1295387140 | Concord Orthodontics, Pllc | Dentist | 16 Foundry St Ste 202, Concord, NH 03301-5431 | 2019-07-11 |
| 1871075481 | Xcelerated Orthodontics Inc | Dentist | 59 Deer St Unit 3b, Portsmouth, NH 03801-3765 | 2018-08-30 |
| 1942705124 | Decoteau Orthodontics, Pllc | Dentist | 169 Kinsley St., Nashua, NH 03060 | 2018-03-28 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1083087423 | Simply Orthodontics, Nh, PC | Dentist | 49 Derry St, Hudson, NH 03051-4027 | 2015-11-06 |
| 1346645884 | Emily Jeanne Samuel | Dentist | 24 Westminster Street West, Walpole, NH 03608-0815 | 2014-10-27 |
| 1891929790 | Suren Chelian, Dmd, Pllc | Dentist | 29 Riverside St # D, Nashua, NH 03062-1396 | 2009-05-06 |
| 1831337625 | Bryan C Hiller | Dentist | 394 Union Ave, Laconia, NH 03246-2812 | 2009-02-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.