Glenn M Wilson, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7524 Issued in CT

Practice address

146 Danbury Rd
Suite C
New Milford, CT 06776-3427

Phone

(860) 354-3737

Fax

(860) 350-2927

NPI assigned

Aug 10, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689676652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 DANBURY RD",
            "address_2": "SUITE C",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763427",
            "telephone_number": "860-354-3737",
            "fax_number": "860-350-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 DANBURY RD",
            "address_2": "SUITE C",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763427",
            "telephone_number": "860-354-3737",
            "fax_number": "860-350-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "GLENN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Rae Wigglesworth, LCSW
• David A Williams, CRNA
• Deborah S Williams, OTC
• Gena Williamson, LCSW
• Cynthia J Willmen, LPC
• Amanda Wirag, LPC
• Cindi W. Witrock, P.T.
• Kaitlyn Wojnagi, FNP
• Womens Healthcare of New Milford
• Karen Marie Wunderlich, NP

• General Practice Dentistry in New Milford, CT
• Providers in New Milford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.