Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keith Jonathan Wilson, DDS

Individual provider Dentist · NPI 1578621769

Dr. Keith Jonathan Wilson, DDS is a Dentist in Fort Drum, New York. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

10590 Enduring Freedom Dr US Army Dental Activity
Fort Drum, NY 13602-5005
Phone: (315) 772-6234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401008681 (VA)

Record details

NPI number1578621769
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 4, 2006
Last updated in NPPESJune 13, 2016
Mailing address10590 Enduring Freedom Dr, Us Army Dental Activity, Fort Drum, NY 13602-5005

Other providers in Fort Drum