Watts, Jr, Robert T

Watts, Jr, Robert T is an individual health care provider with primary practice located at 1760 Medical Park Dr Suite A, Biloxi MS 39532-2131. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Watts, Jr, Robert T can be contacted via phone (228) 388-5925.

Contact Information

Primary practice address
1760 Medical Park Dr Suite A Biloxi MS 39532-2131
Phone: (228) 388-5925
Fax: (228) 388-8153
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 237987 Mississippi

Profile Details

NPI number 1407809098
LBN Legal business name Watts, Jr, Robert T
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407809098 NPPES
Mississippi MEDICAID 7951005

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