Doctor profile · Federal record
Dr. Douglass Wilson, D.M.D
Orthodontics and Dentofacial Orthopedic Dentist · Orthodontics and Dentofacial Orthopedic Dentist · Orthodontics and Dentofacial Orthopedic Dentist · Keene, NH
- NPI 1104959519
- 19 yrs on file
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
69 Island St Ste Q
Keene, NH 034313507
(603) 352-0255
fax (603) 352-6262
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- January 20, 2010
- Specialty taxonomy
- 1223X0400X — NUCC code
- State licenses (3)
- New Hampshire #3428 · Vermont #016-0002204 · Massachusetts #22063
- Medicaid (2)
- NH #00000423 · VT #1009708
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104959519. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$83
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| American Orthodontics Corporation | 2 | $64.24 | |
| Align Technology, Inc. | 1 | $19.05 |
By nature of payment
Frequently asked questions
What is Dr. Douglass Wilson's medical specialty?
Dr. Douglass Wilson practices Orthodontics and Dentofacial Orthopedic Dentist in Keene, NH.
Where does Dr. Douglass Wilson practice?
Dr. Douglass Wilson practices at 69 Island St Ste Q, Keene, NH 034313507. Office phone: 6033520255.
What is Dr. Douglass Wilson's NPI?
Dr. Douglass Wilson's National Provider Identifier (NPI) is 1104959519, issued by NPPES.