Scott a Watterson DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017509 Issued in MI

Legal business name

SCOTT A WATTERSON DDS, PLLC

Doing business as

Watterson Family Dentistry

Practice address

1030 Laurence Ave, Suite 3
Jackson, MI 49202

Phone

(517) 782-1467

Fax

(517) 782-3659

NPI assigned

May 13, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Scott Allan Watterson, DDS

Title

Dentist-Owner

Phone

(517) 782-1467

Specialties & licenses 1

Addresses

Other names 1

• Watterson Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1871971697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 LAURENCE AVE, SUITE 3",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49202",
            "telephone_number": "517-782-1467",
            "fax_number": "517-782-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 LAURENCE AVE, SUITE 3",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49202",
            "telephone_number": "517-782-1467",
            "fax_number": "517-782-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A WATTERSON DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "WATTERSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "DENTIST-OWNER",
        "authorized_official_telephone_number": "517-782-1467",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watterson Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Marie Schweda, LMSW
• Jonathan Edward Schweid, M.D.
• Donna Jo Schweikert
• Maureen Sciolto
• Scott a Minniear DDS PC
• Ashley D. Scott
• Ashley Marla Scott
• Catherine Jean Scott
• Mary Patricia Scott
• Victoria Elizabeth Seaboldt, RPH

• General Practice Dentistry in Jackson, MI
• Providers in Jackson, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.