Gayle Watters is a Dentist in Madison, Mississippi. Gayle Watters practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gayle Watters is 1265571491. The last update date is 2018-10-24.
Gayle Watters's current location address is 7728 Old Canton Road, Madison, Mississippi. You can contact this provider via phone number 6018561511 and fax number 6018561011. The mailing address for Gayle Watters is 7728 Old Canton Road, Madison, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gayle Watters |
|---|---|
| Address | 7728 Old Canton Road, Madison, Mississippi |
| Phone Number | 6018561511 |
| Fax Number | 6018561011 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1265571491 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2018-10-24 |
Provider Mailing Address Detail
| Address | 7728 Old Canton Road |
|---|---|
| City | Madison |
| State | Mississippi (MS) |
| Post Code | 39110 |
| Phone Number | 6018561511 |
| Fax Number | 6018561011 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 315800 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 660446 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gayle Watters by the Centers for Medicare & Medicaid Services?
The Gayle Watters has been assigned the NPI (National Provider Identifier) 1265571491. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gayle Watters?
The Gayle Watters is physically situated at 7728 Old Canton Road, in the city of Madison, state of MS, with the postal code 39110.
What is Gayle Watters's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gayle Watters's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1265571491 to Gayle Watters?
The Centers for Medicare & Medicaid Services assigned the 1265571491 to Gayle Watters on 2007-02-05.
When was the information regarding Gayle Watters most recently updated?
The details pertaining to the Gayle Watters, including its address, specialty, and other relevant information, were last refreshed on 2018-10-24.
NPI Number: 1962405878
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