DR. HARRELL C. WATTS (NPI# 1679591960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679591960 |
Entity Type | Individual |
Full Name | DR. HARRELL C. WATTS |
Credential | DDS |
Practice Address |
Psc 475 Box 1 Fpo AP 96350 |
Mailing Address |
Psc 475 Box 1690 Fpo AP 96350 |
Practice Telephone | 01181468167140 |
Mailing Telephone | 01181468167140 |
Enumeration Date | 2006-07-17 |
Last Update Date | 2008-04-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
19027122 | IL | Dental Providers |
Street Address |
PSC 475 BOX 1 |
City | FPO |
State | AP |
Zip Code | 96350 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811988173 | Sang Hwa Yi | Psychologist | Psc 475 Box 1, Fpo, AP 96350 | 2005-11-04 |
1467966028 | Jillian Marie Mears | Military Health Care Provider | Psc 475 Box 1, Fpo, AP 96350-1200 | 2017-11-18 |
1366969362 | Stefnie Glazer | Audiologist | Psc 475 Box 1, Fpo, AP 96350-1200 | 2017-08-29 |
1497299978 | Jenna Trew | Physician Assistant | Psc 475 Box 1, Fpo, AP 96350-1200 | 2016-12-19 |
1073057170 | Brittany Anne Hutchison | Occupational Therapist | Psc 475 Box 1, Fpo, AP 96350-1200 | 2016-12-07 |
1477955607 | Ann Iannitto | Advanced Practice Midwife | Psc 475 Box 1, Fpo, AP 96350-1200 | 2014-09-18 |
1942627708 | Scott Patrick Naples | Physician Assistant | Psc 475 Box 1, U.S. Naval Hospital Yokosuka Attn: Medical Staff Servic, Fpo, AP 96350-1200 | 2014-03-18 |
1750706065 | Jessica Lasseigne | Social Worker | Psc 475 Box 1, Fpo, AP 96350-1200 | 2014-02-24 |
1881031441 | Joshua Bryan Swindle | Military Health Care Provider | Psc 475 Box 1, Fpo, AP 96350-1200 | 2013-05-22 |
1861835837 | Robyn Little | Occupational Therapist | Psc 475 Box 1, Fpo, AP 96350-1200 | 2013-04-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538359922 | Usnh Yokosuka | Clinic/Center | Psc 475 Box 1 Code 08, Fpo, AP 96350 | 2007-07-31 |
1184793234 | Naval Hospital Yokosuka | Military/U.S. Coast Guard Pharmacy | Bldg 1400, San Diego Street, Fpo, AP 96350 | 2006-11-06 |
1912956558 | Naval Hospital Yokosuka | Military Hospital | Psc 475 Box 1, Code 081, Drm/ubo, Fpo, AP 96350 | 2006-05-10 |
1598737439 | Sandra Merene Pothula | Nurse Practitioner | Psc 475, Box1752, Fpo, AP 96350 | 2006-02-05 |
1689654535 | Oscar Cheung | Dentist | Psc 475 Box 1487, Fpo, AP 96350 | 2006-01-18 |
1477532083 | Gloria Lynn Garner | Pharmacist | Psc 474 Box 6908, Fpo, AP 96350 | 2006-01-11 |
1699752881 | Viswanadham Pothula | Colon & Rectal Surgery | Psc 475 Box 1752, Fpo, AP 96350 | 2005-12-28 |
1861479263 | Malgorzata Elzbieta Wojtowicz | Internal Medicine | Us Naval Hospital Yokosuka, Japan, Psc 475, Box 1, Fpo, AP 96350 | 2005-12-28 |
1699752410 | Eun Jang Pyeun-kim | Dentist | Usnh Psc 475, Box 1375, Fpo, AP 96350 | 2005-12-22 |
1629054507 | Leona Rader | Social Worker | Psc 475, Box 1, Fpo, AP 96350 | 2005-12-21 |
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Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639723208 | James Jordan Kline | Dentist | Parris Island, Dental Clinic, Fpo, AA 29905 | 2019-07-31 |
1902459928 | Gabrielle Klatt | Dentist | Naval Hospital Camp Pendleton Dental Department, Fpo, AA 92055 | 2019-07-18 |
1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
1346655644 | Andrew Woodward Hubbard | Dentist | Uss Bataan, Lhd-5, Fpo, AE 09554-1657 | 2014-06-25 |
1740615350 | John Houston Greiner | Dentist | 13 Adc Mainside, 92055, Fpo, AA 92055-5221 | 2013-09-13 |
1790127835 | Tyson Andrew Ellenbecker | Dentist | 1st Dental Bn/ndc Camp Pendleton, Box 555221, Fpo, AA 92054-2055 | 2013-07-17 |
1912345448 | Austin Joseph Ladner | Dentist | 99th Air Base Wing Public Affairs, Fpo, AA 89191 | 2013-06-06 |
1396093589 | Samir Misdaq Hussain | Dentist | Psc 475 Box 1515, Fpo, AP 96350-1515 | 2012-08-21 |
1164770517 | James Stephen Feliz | Dentist | Psc 477 Box#2, Fpo, AP 96306 | 2012-08-16 |
1902032907 | Joseph R Platt | Dentist | Psc 557 Box 1753, Fpo, AP 96379-1700 | 2009-06-04 |
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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.