Organization Active NPI

David F. Watson Jr. DMD PA

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1205041530
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1905 Issued in SC
Legal business name
DAVID F. WATSON JR. DMD PA
Practice address
54 Pointe Cir # B
Greenville, SC 29615-3506
Phone
(864) 233-0075
Fax
(864) 233-6314
NPI assigned
May 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Frontis Watson Jr., DMD PANPI 1861553737
Title
Dentist
Phone
(864) 233-0075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1905 SC Primary

Addresses

Primary practice location

54 Pointe Cir # B
Greenville, SC 29615-3506

Mailing address

213 Collins Creek Rd
Greenville, SC 29607-3730
Phone (864) 288-4898

National Provider Directory

National Provider Directory

Locations

54 Pointe Cir
#B
Greenville, SC 29615
Phone (864) 233-0075

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205041530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 COLLINS CREEK RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073730",
            "telephone_number": "864-288-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 POINTE CIR # B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153506",
            "telephone_number": "864-233-0075",
            "fax_number": "864-233-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID F. WATSON JR. DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FRONTIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "864-233-0075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • 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.