# WATSON PSC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WATSON PSC
- **Other names:** SMILES ON MEETING STREET
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912179516
- **Legal business name:** WATSON PSC
- **Authorized official:** DR. KWANE MITCHELL WATSON DMD (OWNER)
- **Authorized official phone:** (502) 776-1754

## Contact information

- **Practice address:** 10515 MEETING ST, SUITE 104, PROSPECT, KY 40059-6523
- **Practice address phone:** (502) 420-2480
- **Practice address fax:** (502) 420-2891
- **Mailing address:** 10515 MEETING ST, SUITE 104, PROSPECT, KY 40059-6523
- **Mailing address phone:** (502) 420-2480
- **Mailing address fax:** (502) 420-2891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7483 | KY | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 61900346 | — | KY |