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
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
Provider Enumeration Date 2006-07-07
Last Updated Date 2023-12-02

Provider Mailing Address Detail

Address 533c Otis Boulevard
City Spartanburg
State South Carolina (SC)
Post Code 293022605
Phone Number 8645830393
Fax Number 8645830393

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
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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FAQs about Robert Malcourt Watson

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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