# GEORGE E WATTERS III DMD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GEORGE E WATTERS III DMD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447420120
- **Legal business name:** GEORGE E WATTERS III DMD
- **Authorized official:** GEORGE E WATTERS III DMD DMD (OWNER DENTIST)
- **Authorized official phone:** (724) 652-9843

## Contact information

- **Practice address:** 1212 BUTLER AVE, NEW CASTLE, PA 16101
- **Practice address phone:** (724) 652-9843
- **Practice address fax:** (724) 652-6577
- **Mailing address:** 1212 BUTLER AVE, NEW CASTLE, PA 16101
- **Mailing address phone:** (724) 652-9843
- **Mailing address fax:** (724) 652-6577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS018178L | PA | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | DS018178L | PA | — |

## Other

- **Enumeration date:** 03/10/2008
- **Last updated:** 04/24/2008