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Dr. Scott A Watterson, DDS

Dentist, General Practice in Jackson, MI. Individual provider (NPI-1).

NPI number1285643841
StatusActive
Last updated in NPPESSep 11, 2019

Details

NPI
1285643841
Entity type
Individual (NPI-1)
Name
Dr. Scott A Watterson
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 5, 2006
Last updated
Sep 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2901017509MIYes

Practice location

1030 Laurence Ave
Ste 4
Jackson, MI 49202

Phone 517-782-1467 · Fax 517-782-3659

Mailing address

1030 Laurence Ave
Ste 4
Jackson, MI 49202

Phone 517-782-1467 · Fax 517-782-3659

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