Organization
WATERTOWN PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BEUTTENMULLER (OFFICE MANAGER)
(315) 221-4044
Entity
Organization
Contact information
Practice address
22645 SUMMIT DR, WATERTOWN, NY 13601-7233
(315) 221-4044
Mailing address
22645 SUMMIT DR, WATERTOWN, NY 13601-7233
(315) 221-4044
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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