Jennifer Leigh Watters in Corte Madera - Periodontics
Jennifer Leigh Watters - NPI 1750463246
Jennifer Leigh Watters is a Periodontics in Corte Madera, California. Jennifer Leigh Watters practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jennifer Leigh Watters is 1750463246. The last update date is 2007-07-08.
Jennifer Leigh Watters's current location address is 248 Granada Dr, Corte Madera, California. You can contact this provider via phone number 4159246256. The mailing address for Jennifer Leigh Watters is 248 Granada Dr, Corte Madera, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Leigh Watters |
|---|---|
| Address | 248 Granada Dr, Corte Madera, California |
| Phone Number | 4159246256 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1750463246 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 248 Granada Dr |
|---|---|
| City | Corte Madera |
| State | California (CA) |
| Post Code | 949252010 |
| Phone Number | 4159246256 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 39576 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identification code assigned to Jennifer Leigh Watters by the Centers for Medicare & Medicaid Services?
The Jennifer Leigh Watters has been issued the NPI (National Provider Identifier) 1750463246. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jennifer Leigh Watters's physical address?
The Jennifer Leigh Watters is physically located at 248 Granada Dr, in the city of Corte Madera, CA, with the postal code 949252010.
What is Jennifer Leigh Watters's area of expertise and its corresponding taxonomy classification?
The Jennifer Leigh Watters's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
When did Jennifer Leigh Watters receive its 1750463246 assignment?
The Jennifer Leigh Watters was assigned its 1750463246 on 2006-10-20, which is the date when this unique identifier was issued to the organization.
As of what date were the Jennifer Leigh Watters's details last updated?
The information pertaining to the Jennifer Leigh Watters, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH