Jamie Watson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7594 Issued in OK

Practice address

712 N Broadway St
Tecumseh, OK 74873-1414

Phone

(405) 598-9398

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tecumseh Family Dentistry PLLC

  • Dental Clinic/Center
  • Tecumseh, OK
  • NPI 1912731936
  NPD

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1902535941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 THOMPSON DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604830",
            "telephone_number": "405-532-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N BROADWAY ST",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748731414",
            "telephone_number": "405-598-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Anna Tobin-Branham, M.A.
• Megan Rose Vanscoyoc, PTA
• Vizown LLC
• Vizown, LLC
• Robert Marshall Walter, DDS
• Steven Dean Weddle
• Patsy Ruth Wheatley-Grimes, MA SECONDARY ED
• Megan Wheeler
• Stephannie S White, P.T.
• Tyler Wilbourn, PTA

• Dentist in Tecumseh, OK
• Providers in Tecumseh, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.