Individual provider · Type 1 NPI

Douglass Charles Wilson, D.M.D

Orthodontics and Dentofacial Orthopedics Dentistry · Keene, NH

NPI number 1104959519 Active

Practice location

69 Island St Ste Q
Keene, NH 03431-3507

Fax (603) 352-6262

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X3428 (NH)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X016-0002204 (VT)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X22063 (MA)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…

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About NPI 1104959519

Douglass Charles Wilson, D.M.D's National Provider Identifier is 1104959519, issued on Mar 14, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Keene, NH. The record was last updated on Jan 20, 2010.