Watauga Family Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WATAUGA FAMILY DENTISTRY PLLC

Practice address

5710 Watauga Rd
Watauga, TX 76148-3022

Phone

(817) 281-2061

NPI assigned

Aug 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. William Laurence Oliver, DDS

Title

President

Phone

(817) 281-2061

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408233600000",
    "number": "1720487697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 WATAUGA RD",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761483022",
            "telephone_number": "817-281-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 WATAUGA RD",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761483022",
            "telephone_number": "817-281-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATAUGA FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-17",
        "last_updated": "2014-08-17",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LAURENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-281-2061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Watauga, TX
• Providers in Watauga, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; 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.