Individual
DR. TERRY L WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
310 23RD AVE N, SUITE 101, NASHVILLE, TN 37203-1525
(615) 320-3210
(615) 329-8931
Mailing address
310 23RD AVE N, SUITE 101, NASHVILLE, TN 37203-1525
(615) 320-3210
(615) 329-8931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3186
AR
1223G0001X
General Practice Dentistry
8932
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134741608
—
AR
01
—
5T381
FEDERAL BCBS
AR
01
—
710854906
PROVIDER ID NUMBER
AR
01
—
883850
UNITED CONCORDIA PROVIDER
AR
Enumeration date
01/16/2006
Last updated
08/07/2016
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