Ethel Lea Watson, D.M.D., M.a.,P.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ETHEL LEA WATSON, D.M.D., M.A.,P.C

Doing business as

E. Lea Watson, .p.D.M.D.,

Practice address

6828 Commerce St
Suite 104
Springfield, VA 22150-2639

Phone

(703) 752-2500

Fax

(703) 752-2503

NPI assigned

Sep 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ethel Lea Watson, DMDNPI 1083674881

Title

Dentist

Phone

(703) 752-2500

Specialties & licenses 1

Addresses

Other names 1

• E. Lea Watson, .p.D.M.D., Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ethel Lea Watson

  • Dentist
  • Springfield, VA
  • NPI 1083674881
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083715387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6828 COMMERCE ST",
            "address_2": "SUITE 104",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502639",
            "telephone_number": "703-752-2500",
            "fax_number": "703-752-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6828 COMMERCE ST",
            "address_2": "SUITE 104",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502639",
            "telephone_number": "703-752-2500",
            "fax_number": "703-752-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHEL LEA WATSON, D.M.D., M.A.,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-752-2500",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E. Lea Watson, .p.D.M.D.,",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ericj Furst MD PC
• Erickson Health Medical Group of Virginia PC
• Erickson Health Medical Group of Virginia PC
• Nathan Eskinder
• Robert N Essien
• Kirsten Caulfield Eure, DPT
• Candace E Evans, DDS
• Kyle Evans
• Amber Evereteze
• James Evers

• General Practice Dentistry in Springfield, VA
• Providers in Springfield, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.