Organization
JAMES WATSON DDS PLLC
Active
Other names
James Watson DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WATSON DDS (OWNER/EMPLOYEE)
(248) 355-9800
Entity
Organization
Contact information
Practice address
20307 W 12 MILE RD STE 106, SOUTHFIELD, MI 48076-5407
(248) 355-9800
(248) 355-9850
Mailing address
4850 BRIARWOOD AVE # CONDO8, ROYAL OAK, MI 48073-1355
(734) 649-5200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16288
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346456217
MY NPI TYPE 1
—
Enumeration date
07/21/2017
Last updated
03/17/2018
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