George E Watters III DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS018178L Issued in PA

Legal business name

GEORGE E WATTERS III DMD

Practice address

1212 Butler Ave
New Castle, PA 16101

Phone

(724) 652-9843

Fax

(724) 652-6577

NPI assigned

Mar 10, 2008

Organization subpart

Yes

Parent organization

GEORGE E WATTERS III DMDAs reported in NPPES

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

Authorized official

Name

George E Watters III DMD, DMD

Title

Owner Dentist

Phone

(724) 652-9843

Specialties & licenses 2

Addresses

Part of

George E Watters III DMD

Locations

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1447420120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 BUTLER AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "16101",
            "telephone_number": "724-652-9843",
            "fax_number": "724-652-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BUTLER AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "16101",
            "telephone_number": "724-652-9843",
            "fax_number": "724-652-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE E WATTERS III DMD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGE E WATTERS III DMD",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "WATTERS III DMD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "724-652-9843",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS018178L",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "DS018178L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in New Castle, PA
• Providers in New Castle, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.