What is Keith Wilson's NPI number?

Keith Wilson's National Provider Identifier (NPI) is 1578621769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Keith Wilson's specialty?

Keith Wilson is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Keith Wilson located?

Keith Wilson's practice location on file with NPPES is 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005.

What is Keith Wilson's phone number?

The practice phone number listed in the NPPES registry for Keith Wilson is (315) 772-6234.

Is Keith Wilson's NPI active?

Yes — Keith Wilson's NPI (1578621769) is active in the NPPES registry as of the last update on 2016-06-13.

IndividualActive

Keith Wilson, DDS

NPI 1578621769 · Dentist · Fort Drum, NY

Keith Wilson, DDS is a Dentist provider in Fort Drum, NY (NPI 1578621769).

Provider details

NPI number: 1578621769
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 0401008681 (VA)

Specialties & taxonomies

DentistPrimary122300000XLicense 0401008681 (VA)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

10590 Enduring Freedom Dr

US Army Dental Activity

Fort Drum, NY 13602-5005

Phone: (315) 772-6234

Approximate (ZIP-level) locationGet directions

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Mailing address