Individual
DR. ROBERT T WATTS, JR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1760 MEDICAL PARK DR, SUITE A, BILOXI, MS 39532-2131
(228) 388-5925
(228) 388-8153
Mailing address
1525 E PASS RD, APT 222, GULFPORT, MS 39507-3548
(228) 388-5925
(228) 388-8153
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
237987
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7951005
—
MS
Enumeration date
05/18/2006
Last updated
07/08/2007
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