Allie Elizabeth Watson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6884 Issued in LA

Practice address

414 Ross St
Oak Grove, LA 71263-9727

Phone

(318) 428-4255

NPI assigned

Jun 9, 2018

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nela Dental of Monroe, LLC

  • Dentist
  • Monroe, LA
  • NPI 1659788057
  NPD (past)
• Oak Grove Dental

  • General Practice Dentistry
  • Oak Grove, LA
  • NPI 1225338593
  NPD (past)

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528502400000",
    "number": "1609369123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 FAIRVIEW AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013314",
            "telephone_number": "318-348-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639727",
            "telephone_number": "318-428-4255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Stubbs Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015622",
            "country_code": "US",
            "telephone_number": "318-387-5732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ALLIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-09",
        "last_updated": "2018-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turner Rexall Pharmacy Inc
• Twin Rivers Air Partners, LLC
• Timothy Tyler, PA
• Elizabeth Grace Valentine
• Wal-Mart Stores East LP
• West Carroll Arc
• West Carroll Arc
• West Carroll Arc
• West Carroll Care Center Inc
• West Carroll Health Systems

• General Practice Dentistry in Oak Grove, LA
• Providers in Oak Grove, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2018; 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.