DR. BRIAN DOUD WATKINS


Address: 10532 N Port Washington Rd, Mequon, WI 53092-5563
Phone: 2622418300

DR. BRIAN DOUD WATKINS (NPI# 1124006226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124006226
Entity Type Individual
Full Name DR. BRIAN DOUD WATKINS
Credential D.D.S.
Practice Address 10532 N Port Washington Rd
Mequon
WI 53092-5563
Mailing Address 721 Fair Links Way
Gurnee
IL 60031-4706
Practice Telephone 2622418300
Practice Fax Number 2622418300
Mailing Telephone 8473638354
Mailing Fax Number 8379842104
Enumeration Date 2006-01-09
Last Update Date 2011-12-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
6421-15 WI Dental Providers
N 1223E0200X Dentist
Specialization: Endodontics
019-017476 IL Dental Providers

Other Providers BRIAN WATKINS

NPI Name Taxonomy Address Enumeration
1558343152 Brian Patrick Watkins Surgery 1200 Driving Park Ave Ste 2, Newark, NY 14513-1090 2005-11-18
1922611292 Brian Jeffrey Watkins Pharmacist 1587 N Courtenay Pkwy, Merritt Island, FL 32953-4454 2020-08-26
1801437082 Brian Watkins Student in an Organized Health Care Education/Training Program 1300 N 17th Ave, Greeley, CO 80631-9584 2019-09-30
1457716276 Brian Watkins Counselor 3050 White Plains Rd, Bronx, NY 10467-8124 2015-12-21
1710261045 Brian M Watkins Physical Therapy Assistant 6300 67th St, Kenosha, WI 53142-1437 2011-10-05

Office Location

Street Address 10532 N PORT WASHINGTON RD
City MEQUON
State WI
Zip Code 53092-5563

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972598134 Sally G Hunt Pediatrics 10532 N Port Washington Rd, Suite 1a, Mequon, WI 53092-5563 2005-09-14
1144797614 Ovation Hand Institute, LLC Family Medicine 10532 N Port Washington Rd, Mequon, WI 53092-5563 2018-11-01
1548713506 Smart Choice Mri, LLC Clinic/Center 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 2016-07-26
1295100337 Smart Choice Mri, LLC Clinic/Center 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 2015-12-01
1679984108 Victoria Cassandra Jackson Social Worker 10532 N Port Washington Rd, Mequon, WI 53092 2014-05-19
1154742880 Larry E Taylor Psychologist 10532 N Port Washington Rd, Mequon, WI 53092-5563 2013-12-24
1366873598 Peggy Nowicki Counselor 10532 N Port Washington Rd, Mequon, WI 53092-5563 2013-12-13
1750711321 Holly Kay Hallada Counselor 10532 N Port Washington Rd, Mequon, WI 53092-5563 2013-11-19
1669712691 Tiffany Ann Stark Social Worker 10532 N Port Washington Rd, Mequon, WI 53092-5563 2013-02-28
1295012805 Stefanie Carol Palmer Counselor 10532 N Port Washington Rd, Ste 1b, Mequon, WI 53092-5563 2011-11-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942790761 Kathryn Mueller Specialist/Technologist 117 Linden Lane, Apt 7, Thiensville, WI 53092 2018-05-17
1427547082 Shopko Stores Operating Co LLC Eyewear Supplier (Equipment, not the service) 10996 N Port Washington Rd, Mequon, WI 53092 2018-05-08
1912437252 Froedtert & The Medical College of Wisconsin Community Physicians Inc Durable Medical Equipment & Medical Supplies 11430 Port Washington Road, Mequon, WI 53092 2017-06-19
1629437256 Sean S Tsang Acupuncturist 909 W. Mequon Rd., Mequon, WI 53092 2016-02-10
1497128433 Nancy Snoots Counselor 4430 W Tarrytown Ln, Mequon, WI 53092 2015-11-12
1609265214 Evan Guettel Physical Therapist 11363 N. Port Washington Road, Mequon, WI 53092 2015-01-20
1881091148 Sarah Krueger Counselor 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 2014-12-01
1245667088 Lora Transportation, LLC Non-emergency Medical Transport (VAN) 1228 West Baldwin Crt., Mequon, WI 53092 2013-10-10
1710314000 Roxxi M Davis Social Worker 7113 Tamarack Ct, Mequon, WI 53092 2013-10-01
1225473713 Forefront Dermatology, S.c. Dermatology 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 2013-05-09
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336287895 Craig Renold Carr Dentist 10535 N Port Washington Rd, Mequon, WI 53092-5583 2007-02-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164031464 Central Wisconsin Endodontic Specialists LLC Dentist 2606 Stewart Avenue, #102, Wausau, WI 54401 2020-07-23
1891319273 Janesville Endodontics Dentist 1616 N Randall Ave Ste 180, Janesville, WI 53545-1155 2020-06-02
1306480918 Teng Kai Ong Dentist 1801 West Wisconsin Ave., Milwaukee, WI 53233 2019-11-06
1215344478 Helen Tsao Dentist 2606 Stewart Ave, Ste 102, Wausau, WI 54401-5502 2014-07-18
1275973166 Meridian Endodontics and Periodontics Dentist 20350 Water Tower Blvd Ste 203, Brookfield, WI 53045-3558 2013-06-25
1447698451 Eva C Dahl Dentist 2700 National Dr Ste 1, Onalaska, WI 54650-6708 2013-06-12
1275873374 F Kris Olsen Dentist 1320 S Green Bay Road, Racine Dental Group, Racine, WI 53406 2013-02-26
1063710655 Erik Daniel Deyoung Dentist 6100 W State St, Apt. 636, Wauwatosa, WI 53213-2983 2011-03-05
1376786285 Ronald David Meyers Dentist 2600 N Mayfair Rd Ste 240, Wauwatosa, WI 53226-1309 2009-04-08
1942450457 Wisconsin Endodontic Group, S.c. Dentist 2600 N. Mayfair Rd., Ste 240, Wauwatosa, WI 53226 2008-09-22
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Competitor

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City MEQUON
Zip Code 53092

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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