Moses Watson III, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6184 Issued in NC

Legal business name

MOSES WATSON III, DDS, PA

Doing business as

Watson Family Dentistry

Practice address

426 S King St
Laurinburg, NC 28352-3704

Phone

(910) 276-9688

Fax

(910) 276-2150

NPI assigned

May 29, 2007

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

Dr. Moses Watson III, DDSNPI 1265528277

Title

Owner, Doctor

Phone

(910) 276-9688

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Watson Family Dentistry Doing business as

Tax ID family

Moses Watson III DDS PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Moses Watson III, DDS, PA

  dba Watson Family Dentistry

  • Dentist
  • Raleigh, NC
  • NPI 1275979445
  NPD tax ID
• Moses Watson III, DDS, PA

  dba Brush

  • Dentist
  • Durham, NC
  • NPI 1821434341
  NPD tax ID

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.

• Moses Watson III, DDS

  • General Practice Dentistry
  • Laurinburg, NC
  • NPI 1265528277
  NPD (past) Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295936482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 S KING ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523704",
            "telephone_number": "910-276-9688",
            "fax_number": "910-276-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 S KING ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523704",
            "telephone_number": "910-276-9688",
            "fax_number": "910-276-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES WATSON III, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "OWNER, DOCTOR",
        "authorized_official_telephone_number": "910-276-9688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8998941",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902VM",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watson Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Pearce Moore, FNP
• Mary Moree, MD
• Kimberly M Morgan, NP
• Chelsea Nicole Morrison, OTR/L
• Nathaniel Morrison, BSW,LCAS,MA
• Amanda J Murphy, CMF
• Tammy Welch Myatt, IBCLC, RLC
• Myeyedr Optometry of North Carolina, PLLC (Myeyedr)
• National Mentor Healthcare LLC (NC Mentor)
• National Mentor Healthcare LLC (North Carolina Mentor)

• General Practice Dentistry in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• General Practice Dentistry in North Carolina

• 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.