OrganizationActive
Craig S. Wilson, D.D.S., LLC
NPI 1417152786 · General Practice Dentistry · Old Saybrook, CT
Provider details
- NPI number
- 1417152786
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Craig Wilson, Owner(860) 388-9774
- License
- 006836 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Main St
Suite 1
Old Saybrook, CT 06475-2301
Phone: (860) 388-9774
Street-level locationGet directions
Mailing address
105 Main St
Old Saybrook, CT 06475-2301
Registry dates
- Enumerated
- 2007-06-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.