IndividualActive
Douglass Wilson, D.M.D
NPI 1104959519 · Orthodontics and Dentofacial Orthopedics Dentistry · Keene, NH
Provider details
- NPI number
- 1104959519
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 3428 (NH)
Practice location
69 Island St Ste Q
Keene, NH 03431-3507
Phone: (603) 352-0255
Fax: (603) 352-6262
Mailing address
69 Island St Ste Q
Keene, NH 03431-3507
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2010-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.