Organization Active NPI

Hebron Family Dentistry - Valerie Watson DDS LLC

  • General Practice Dentistry
  • Hebron, KY
National Provider Identifier
1235408667
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8436 Issued in KY
Legal business name
HEBRON FAMILY DENTISTRY - VALERIE WATSON DDS LLC
Practice address
2940 Hebron Park Dr
104
Hebron, KY 41048-9534
Phone
(859) 689-2021
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Dr. Valerie Watson, DDSNPI 1033323597
Title
Member
Phone
(859) 689-2021

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8436 KY Primary

Addresses

Primary practice location

2940 Hebron Park Dr
104
Hebron, KY 41048-9534

Mailing address

2940 Hebron Park Dr
104
Hebron, KY 41048-9534
Phone (859) 689-2021

National Provider Directory

National Provider Directory

Locations

2940 Hebron Park Dr
Ste 104
Hebron, KY 41048
Phone (859) 689-2021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1235408667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 HEBRON PARK DR",
            "address_2": "104",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410489534",
            "telephone_number": "859-689-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 HEBRON PARK DR",
            "address_2": "104",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410489534",
            "telephone_number": "859-689-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBRON FAMILY DENTISTRY - VALERIE WATSON DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "859-689-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.