Douglass Charles Wilson in Keene - Orthodontics And Dentofacial Orthopedics
Douglass Charles Wilson - NPI 1104959519
Douglass Charles Wilson is a Orthodontics And Dentofacial Orthopedics in Keene, New Hampshire. Douglass Charles Wilson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Douglass Charles Wilson is 1104959519. The last update date is 2010-01-20.
Douglass Charles Wilson's current location address is 69 Island St Ste Q, Keene, New Hampshire. You can contact this provider via phone number 6033520255 and fax number 6033526262. The mailing address for Douglass Charles Wilson is 69 Island St Ste Q, Keene, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglass Charles Wilson |
|---|---|
| Address | 69 Island St Ste Q, Keene, New Hampshire |
| Phone Number | 6033520255 |
| Fax Number | 6033526262 |
| Sole Proprietor | N |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1104959519 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2010-01-20 |
Provider Mailing Address Detail
| Address | 69 Island St Ste Q |
|---|---|
| City | Keene |
| State | New Hampshire (NH) |
| Post Code | 34313507 |
| Phone Number | 6033520255 |
| Fax Number | 6033526262 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 3428 |
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Definition: 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 rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 423 | NH | -- | |
| 1009708 | VT | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Douglass Charles Wilson by the Centers for Medicare & Medicaid Services?
The Douglass Charles Wilson has been issued the NPI (National Provider Identifier) 1104959519. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Douglass Charles Wilson is physically located?
The Douglass Charles Wilson is physically situated at the following address: 69 Island St Ste Q, Keene, NH, 34313507.
What is Douglass Charles Wilson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Douglass Charles Wilson is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104959519 to Douglass Charles Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1104959519 to Douglass Charles Wilson on 2007-03-14.
As of what date was the information pertaining to Douglass Charles Wilson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Douglass Charles Wilson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-01-20.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA