Kristen Watts, DDS
Dentist, General Practice in Saint Louis, MO. Individual provider (NPI-1).
NPI number1164041588
StatusActive
Last updated in NPPESJul 3, 2024
Details
- NPI
- 1164041588
- Entity type
- Individual (NPI-1)
- Name
- Kristen Watts
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2020
- Certification date
- Jul 3, 2024
- Last updated
- Jul 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2020038493 | MO | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2958 Dougherty Ferry RdSaint Louis, MO 63122-3366
Phone 636-394-4275
Mailing address
1238 Arch TerSaint Louis, MO 63117-1402
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