Gary L. Watts DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN008627 Issued in GA

Legal business name

GARY L. WATTS DMD PC

Practice address

501 Park St
Palmetto, GA 30268-1007

Phone

(770) 463-4541

Fax

(770) 463-9184

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary L Watts, D.M.D.

Title

President

Phone

(770) 463-4541

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760507255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PARK ST",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681007",
            "telephone_number": "770-463-4541",
            "fax_number": "770-463-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PARK ST",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681007",
            "telephone_number": "770-463-4541",
            "fax_number": "770-463-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. WATTS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-463-4541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Palmetto, GA
• Providers in Palmetto, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.