DR. CHRISTOPHER MCLEAN WILSON (NPI# 1750470829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750470829 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER MCLEAN WILSON |
| Credential | DDS |
| Practice Address |
55 Central Street Randolph VT 05060 |
| Mailing Address |
P.o. Box 416 Randolph VT 05060 |
| Practice Telephone | 8027283343 |
| Practice Fax Number | 8022763538 |
| Mailing Telephone | 8027283343 |
| Mailing Fax Number | 8022763538 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
VT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1003924 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136784 | Christopher Wilson | Physician Assistant | 3620 Azalea Dr, Destin, FL 32541-2395 | 2020-05-28 |
| 1992326441 | Christopher Shane Wilson | Peer Specialist | 5800 Nw 71st St, Warr Acres, OK 73132-6607 | 2020-05-06 |
| 1407344161 | Christopher Wilson | Student in an Organized Health Care Education/Training Program | 1701 W. Charleston Blvd., #400, Las Vegas, NV 89102 | 2018-04-28 |
| 1053822510 | Christopher Michael Wilson | Behavior Technician | 3-3367 Kuhio Hwy Ste 204, Lihue, HI 96766 | 2017-10-23 |
| 1447617840 | Christopher James Wilson | Massage Therapist | 2614 W Serendipity Cir, Apt 113, Colorado Springs, CO 80917-3445 | 2016-01-15 |
| 1225454226 | Christopher Scott Wilson | Physical Therapist | 929 Bowman Rd Ste 300, Mt Pleasant, SC 29464 | 2014-03-14 |
| 1447455910 | Christopher F Wilson | Psychologist | 852 Sw 21st Ave, Portland, OR 97205-1604 | 2007-06-15 |
| 1093886178 | Christopher P Wilson | Psychiatry & Neurology | 15418 Main St Unit 303a, Mill Creek, WA 98012-9031 | 2006-11-12 |
| 1467553149 | Christopher M Wilson | Psychiatry & Neurology | 8607 E Us Highway 36 Ste 100, Avon, IN 46123 | 2006-09-26 |
| 1972554814 | Christopher Alexander Wilson | Physical Therapist | 12551 Old Glenn Hwy, Ste E, Eagle River, AK 99577-7590 | 2006-05-15 |
| Street Address |
55 CENTRAL STREET |
| City | RANDOLPH |
| State | VT |
| Zip Code | 05060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497003099 | Courtney Austin | Pharmacist | 12 North Main St., Randolph, VT 05060 | 2012-08-29 |
| 1851467658 | John Leonard Westbrook | Dentist | 1422 Vt Rt 66, Randolph, VT 05060 | 2006-11-27 |
| 1538170006 | Eric C Medved | Physical Therapist | 44 South Main Street, Randolph, VT 05060 | 2006-08-10 |
| 1295100048 | Ashley Shepard | Counselor | 11 N Main St, Randolph, VT 05060 | 2015-12-04 |
| 1326434713 | Emilija O Florance | Family Medicine | 44 S Main St, Randolph, VT 05060 | 2015-04-13 |
| 1891117545 | Penny Fossman | Registered Nurse | 44 S Main St, Randolph, VT 05060 | 2014-01-15 |
| 1053679266 | Clara Martin Center | Community/Behavioral Health | 11 Main Street, Randolph, VT 05060 | 2012-04-25 |
| 1770840829 | Andrea L. Larosa | Nurse Practitioner | 44 South Main Street, Box 2000, Randolph, VT 05060 | 2012-04-13 |
| 1043498561 | Jessica Schupp | Counselor | 11 Main Street, Randolph, VT 05060 | 2008-02-06 |
| 1316128168 | Teresa Rodimon | Counselor | 11 Main Street, Randolph, VT 05060 | 2007-11-21 |
| Find all providers in zip 05060 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972055861 | Yuhui Hu Dds LLC | Dentist | 140 State Route 10, Randolph, NJ 07869-1542 | 2016-10-26 |
| 1104271121 | Dr Parnass General Dentistry LLC | Dentist | 140 Route 10 W, Randolph, NJ 07869-1542 | 2016-04-27 |
| 1437519063 | Mawna Dhamotharan Kumar | Dentist | 8305, Wynbrook Drive, Randolph, NJ 07869-1297 | 2016-02-24 |
| 1588991780 | Michael Bravman | Dentist | 111 Everdale Rd, Randolph, NJ 07869-2301 | 2009-11-09 |
| 1336315837 | Family First Dental Associates of Wausa PC | Dentist | 105 Broadway, Randolph, NE 68771 | 2008-05-05 |
| 1730394354 | Young Kyu Kim | Dentist | 924 Route 10 West, Randolph, NJ 07869 | 2007-05-14 |
| 1265556062 | Mark Parnass | Dentist | 140 Route 10 West, K-mart Plaza, Randolph, NJ 07869 | 2007-03-19 |
| 1154445955 | Dr. Parnass Family Dentistry, LLC | Dentist | 140 Route10 West, K-mart Plaza, Randolph, NJ 07869 | 2007-03-19 |
| 1336278100 | Laura Castro | Dentist | 924 Route 10 W, Charmoy Dental, Randolph, NJ 07869-1932 | 2007-03-05 |
| 1104972181 | Richard Loguercio Dds PC | Dentist | 56 So Main St, Randolph, MA 02368 | 2007-01-25 |
| Find all providers in RANDOLPH | ||||
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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.