Dr. Christian Sean Watkins
Dentist, General Practice in Davenport, FL. Individual provider (NPI-1).
NPI number1902548522
StatusActive
Last updated in NPPESJan 2, 2025
Details
- NPI
- 1902548522
- Entity type
- Individual (NPI-1)
- Name
- Dr. Christian Sean Watkins
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2022
- Certification date
- Jan 2, 2025
- Last updated
- Jan 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 29814 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
7551 Osceola Polk Line RdDavenport, FL 33896
Phone 321-401-4540
Mailing address
7551 Osceola Polk Line RdDavenport, FL 33896-9112
Phone 321-401-4540
Other practice locations
475 Seaview Ave
Staten Island, NY 10305-3436
Staten Island, NY 10305-3436
Phone 718-226-9877
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