Active NPI
David F. Watson Jr. DMD PA
- General Practice Dentistry
- Greenville, SC
National Provider Identifier
1205041530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1905
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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 PA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Greenville, SC
- NPI 1861553737
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.