Organization Active NPI

Watsontown Dental

  • General Practice Dentistry
  • Watsontown, PA
National Provider Identifier
1811766298
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WATSONTOWN DENTAL
Practice address
151 Main St
Watsontown, PA 17777-1706
Phone
(570) 538-5533
NPI assigned
Dec 27, 2023
Organization subpart
Yes
Parent organization
DAVID E. VITUNAC D.M.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Dr. David Edward Vitunac, DMDNPI 1518582667
Title
President
Phone
(570) 245-8765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

151 Main St
Watsontown, PA 17777-1706

Mailing address

315 Market St
Mifflinburg, PA 17844-1309
Phone (570) 245-8765

National Provider Directory

National Provider Directory
Tax ID family
David E Vitunac DMD PC2 organizations share this tax ID, including this one
Part of
David E Vitunac DMD PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

151 Main St
Watsontown, PA 17777
Phone (570) 538-5533

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1811766298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MARKET ST",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178441309",
            "telephone_number": "570-245-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MAIN ST",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "177771706",
            "telephone_number": "570-538-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSONTOWN DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID E. VITUNAC D.M.D., P.C.",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "VITUNAC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-245-8765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.