Ethel Lea Watson is a Dentist in Springfield, Virginia. Ethel Lea Watson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ethel Lea Watson is 1083674881. The last update date is 2007-07-08.
Ethel Lea Watson's current location address is 6828 Commerce St, Springfield, Virginia. You can contact this provider via phone number 7037522500 and fax number 7037522503. The mailing address for Ethel Lea Watson is 6828 Commerce St, Springfield, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethel Lea Watson |
|---|---|
| Address | 6828 Commerce St, Springfield, Virginia |
| Phone Number | 7037522500 |
| Fax Number | 7037522503 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1083674881 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6828 Commerce St |
|---|---|
| City | Springfield |
| State | Virginia (VA) |
| Post Code | 221502639 |
| Phone Number | 7037522500 |
| Fax Number | 7037522503 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 401006841 |
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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 |
|---|---|---|---|
| 10111463 | VA | -- |
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What is the unique 10-digit identification code issued to Ethel Lea Watson by the Centers for Medicare & Medicaid Services?
The Ethel Lea Watson has been assigned the NPI (National Provider Identifier) 1083674881 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Ethel Lea Watson is geographically located?
The Ethel Lea Watson is physically situated at the following location: 6828 Commerce St, Springfield, VA, 221502639.
What is the Ethel Lea Watson's specialty and taxonomy code?
The Ethel Lea Watson's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083674881 to Ethel Lea Watson?
The Ethel Lea Watson received its 1083674881 assignment from the Centers for Medicare & Medicaid Services on 2006-03-24.
When was the Ethel Lea Watson's information last updated?
The Ethel Lea Watson's information was last updated on 2007-07-08.
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