Mark Douglas Watson in St. Paul - General Practice

Mark Douglas Watson - NPI 1780603670

Mark Douglas Watson is a General Practice in St. Paul, Minnesota. Mark Douglas Watson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Douglas Watson is 1780603670. The last update date is 2017-02-15.

Mark Douglas Watson's current location address is 1511 Payne Avenue, St. Paul, Minnesota. You can contact this provider via phone number 6517762708 and fax number 6517780380. The mailing address for Mark Douglas Watson is 1511 Payne Avenue, St. Paul, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Douglas Watson
Address 1511 Payne Avenue, St. Paul, Minnesota
Phone Number 6517762708
Fax Number 6517780380
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1780603670
Provider Enumeration Date 2006-07-19
Last Updated Date 2017-02-15

Provider Mailing Address Detail

Address 1511 Payne Avenue
City St. Paul
State Minnesota (MN)
Post Code 55130
Phone Number 6517762708
Fax Number 6517780380

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No MN 8539
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Mark Douglas Watson

What is the unique 10-digit identification code assigned to Mark Douglas Watson by the Centers for Medicare & Medicaid Services?

The Mark Douglas Watson has been issued the NPI (National Provider Identifier) 1780603670, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mark Douglas Watson is geographically located?

The Mark Douglas Watson is physically situated at the following location: 1511 Payne Avenue, St. Paul, MN, 55130.

What is the Mark Douglas Watson's area of specialization and corresponding taxonomy classification?

The Mark Douglas Watson's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date was the 1780603670 assigned to Mark Douglas Watson?

The Mark Douglas Watson was issued its 1780603670 on 2006-07-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Mark Douglas Watson most recently updated or refreshed?

The details pertaining to the Mark Douglas Watson, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-02-15.

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