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ETHEL LEA WATSON D.M.D. M.A.P.C NPI 1083715387


NPI Information

NPI: 1083715387
Provider Name: ETHEL LEA WATSON, D.M.D., M.A.,P.C

Doing Business As: E. LEA WATSON, .P.D.M.D.,

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6828 COMMERCE ST
SUITE 104
SPRINGFIELD, VA
ZIP 22150
Phone: (703) 752-2500
Get Directions

ETHEL LEA WATSON, D.M.D., M.A.,P.C is a general practice dentist in Springfield, VA. The provider is 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. ETHEL LEA WATSON, D.M.D., M.A.,P.C NPI is 1083715387. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As E. Lea Watson, .p.d.m.d.,.

The provider's business location address is:

6828 COMMERCE ST
SUITE 104
SPRINGFIELD, VA
ZIP 22150-639
Phone: (703) 752-2500
Fax: (703) 752-2503

The provider's authorized official is Ethel Lea Watson .
The authorized official title is Dentist and has the following contact phone number (703) 752-2500.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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