Michael Jay Watson, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

870669329 Issued in UT

Practice address

4465 S 900 E Ste 175
Salt Lake City, UT 84124-2644

Phone

(801) 278-0704

Fax

(801) 278-6648

NPI assigned

Sep 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1306940713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 S 900 E STE 175",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242644",
            "telephone_number": "801-278-0704",
            "fax_number": "801-278-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 S 900 E STE 175",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242644",
            "telephone_number": "801-278-0704",
            "fax_number": "801-278-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "870669329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Vivian Watson, DO
• Marianne E Watson, CSW
• Marysia Watson, DO
• Melissa G. Watson
• Micah McBride Watson
• Rachel Sage Watson
• Sharlene K Watson, APRN
• Stevie Watson
• Susan Dee Watson, FNP-BC
• Tyler Richard Watson

• Dentist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.