# WATSON DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356090195
- **Authorized official:** AMBER WATSON DMD (PRESIDENT)
- **Authorized official phone:** (765) 362-0900

## Contact information

- **Practice address:** 1485 S GRANT AVE STE B, CRAWFORDSVILLE, IN 47933-3361
- **Practice address phone:** (765) 362-0900
- **Mailing address:** 1485 S GRANT AVE STE B, CRAWFORDSVILLE, IN 47933-3361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2022
- **Last updated:** 03/21/2022