Watertown Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

WATERTOWN PEDIATRIC DENTISTRY PLLC

Practice address

22645 Summit Dr
Watertown, NY 13601-7233

Phone

(315) 221-4044

NPI assigned

Sep 10, 2025

Organization subpart

No

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

Authorized official

Name

Jessica Beuttenmuller

Title

Office Manager

Phone

(315) 221-4044

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Andrew Adam Beuttenmuller, DDS

  • Pediatric Dentistry
  • Watertown, NY
  • NPI 1184868119
  NPD

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1659252104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22645 SUMMIT DR",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136017233",
            "telephone_number": "315-221-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22645 SUMMIT DR",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136017233",
            "telephone_number": "315-221-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERTOWN PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "BEUTTENMULLER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-221-4044"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alta Louise Watkins, PA

• Pediatric Dentistry in Watertown, NY
• Providers in Watertown, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.