Robert Malcourt Watson in Spartanburg - Pediatric Dentistry
Robert Malcourt Watson - NPI 1770515876
Robert Malcourt Watson is a Pediatric Dentistry in Spartanburg, South Carolina. Robert Malcourt Watson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Robert Malcourt Watson is 1770515876. The last update date is 2023-12-02.
Robert Malcourt Watson's current location address is 533c Otis Boulevard, Spartanburg, South Carolina. You can contact this provider via phone number 8645830393 and fax number 8645830393. The mailing address for Robert Malcourt Watson is 533c Otis Boulevard, Spartanburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert Malcourt Watson |
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Address | 533c Otis Boulevard, Spartanburg, South Carolina |
Phone Number | 8645830393 |
Fax Number | 8645830393 |
Sole Proprietor | N |
Credentials | DDS MS |
NPI Number Detail
NPI Number | 1770515876 |
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Provider Enumeration Date | 2006-07-07 |
Last Updated Date | 2023-12-02 |
Provider Mailing Address Detail
Address | 533c Otis Boulevard |
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City | Spartanburg |
State | South Carolina (SC) |
Post Code | 293022605 |
Phone Number | 8645830393 |
Fax Number | 8645830393 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | 1095 |
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
ZZ1095 | SC | -- |
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What is the unique identifier code issued to Robert Malcourt Watson by the Centers for Medicare & Medicaid Services?
The Robert Malcourt Watson has been assigned the NPI (National Provider Identifier) 1770515876. 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 street address where Robert Malcourt Watson is physically located?
The Robert Malcourt Watson is physically situated at the following address: 533C Otis Boulevard, Spartanburg, SC, 293022605.
What is the Robert Malcourt Watson's area of specialization and corresponding taxonomy classification?
The Robert Malcourt Watson's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Robert Malcourt Watson receive the assignment of its 1770515876 from the Centers for Medicare & Medicaid Services?
The Robert Malcourt Watson was issued its 1770515876 by the Centers for Medicare & Medicaid Services on 2006-07-07.
As of what date were the details pertaining to Robert Malcourt Watson last refreshed?
The information related to the Robert Malcourt Watson, including its address, specialty, and other relevant details, was last updated on 2023-12-02.
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