DR. ROBERT MALCOURT WATSON JR. (NPI# 1770515876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770515876 |
| Entity Type | Individual |
| Full Name | DR. ROBERT MALCOURT WATSON JR. |
| Credential | DDS MS |
| Practice Address |
533c Otis Blvd Spartanburg SC 29302-2605 |
| Mailing Address |
533c Otis Boulevard Spartanburg SC 29302-2605 |
| Practice Telephone | 8645830393 |
| Practice Fax Number | 8645830393 |
| Mailing Telephone | 8645830393 |
| Mailing Fax Number | 8645830393 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
64 | SC | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
1095 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZZ1095 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861983769 | Robert James Watson V | Chiropractor | 2022 45th Street, Highland, IN 46322-4200 | 2018-05-25 |
| 1609394550 | Robert Fischer Watson | Specialist/Technologist | 2230 N Fort Valley Rd, Flagstaff, AZ 86001-1232 | 2017-08-30 |
| 1104256684 | Robert Watson | Substance Abuse Rehabilitation Facility | 111 W 5th St Ste 600, Tulsa, OK 74103-4260 | 2013-11-19 |
| 1063732154 | Robert Green Watson | Counselor | 1535 Highway 1283, Pipe Creek, TX 78063 | 2010-06-11 |
| 1194937698 | Robert Andrew Watson | General Practice | 311 Truitt Drive, Elon, NC 27244 | 2007-05-04 |
| 1598834954 | Robert William Watson | Internal Medicine | 5701 Golden Hills Dr, Minneapolis, MN 55416-1297 | 2006-11-07 |
| 1366523706 | Robert Eugene Watson | Psychiatry & Neurology | 6715 Lunde Rd, Everson, WA 98247-9635 | 2006-10-18 |
| 1558472381 | Robert Curtis Watson | Dentist | 218 A General Robert E Blount Dr, Bassfield, MS 39421-0549 | 2006-08-31 |
| 1578674487 | Robert Watson | Chiropractor | 1171 E Rancho Vistoso Blvd Ste 123, Oro Valley, AZ 85755-9101 | 2006-08-31 |
| 1417060286 | Robert A Watson II | Family Medicine | 3108 North West Avenue, El Dorado, AR 71730 | 2006-08-16 |
| Street Address |
533C OTIS BLVD |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323868 | D Jensen Turner Dmd LLC | Dentist | 365 E Blackstock Rd Ste B, Spartanburg, SC 29301-3762 | 2017-08-23 |
| 1134432099 | Donald Jensen Turner | Dentist | 365 East Blackstock Rd, Suite B, Spartanburg, SC 29301 | 2010-07-21 |
| 1124065107 | Charles Austin Birch | Dentist | 1575 Skylyn Dr, Spartanburg, SC 29307-1034 | 2006-05-31 |
| 1568414738 | H. J. Turner, IIi Dds, Ms | Dentist | 365b E Blackstock Rd, Spartanburg, SC 29301-3762 | 2006-05-16 |
| 1083934202 | Spartanburg Pediatric Dentistry | Dentist | 1575 Skylyn Dr, Spartanburg, SC 29307-1034 | 2010-06-10 |
| 1891938973 | Foothills Pediatric Dentistry, Pa | Dentist | 240 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2009-04-20 |
| 1184866477 | Steven Michael Bozard | Dentist | 240 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2009-04-01 |
| 1306890124 | Harley James Turner IIi | Dentist | 365b E Blackstock Rd, Spartanburg, SC 29301-3762 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598493 | Pleasant Mill Pediatric Dentistry | Dentist | 1690 Highway 160 W Ste A, Fort Mill, SC 29708-8024 | 2020-11-02 |
| 1124635495 | Destination Dental of Duncan LLC | Dentist | 155 Deacon Tiller Ct, Duncan, SC 29334-8880 | 2020-09-30 |
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1811519507 | Stephanie Silva Dmd, LLC | Dentist | 133 Allen Court, North Augusta, SC 29860 | 2020-05-15 |
| 1235776568 | Tribe Dental LLC | Dentist | 11 Magnolia Cove Dr, Simpsonville, SC 29680 | 2019-12-05 |
| 1457994196 | Sfd Mt. Pleasant LLC | Dentist | 3102 N Highway 17, Mount Pleasant, SC 29466-6925 | 2019-10-25 |
| 1073162053 | Southern Charm Pediatric Dentistry | Dentist | 2021 Bridgemill Rd., Suite 108, Indian Land, SC 29707-2817 | 2019-09-11 |
| 1649825969 | Oak Landing Pediatric Dentistry, LLC | Dentist | 2001 2nd Ave Ste 102, Summerville, SC 29486-7887 | 2019-08-04 |
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 1588130942 | Dentistry for Children of South Carolina PC | Dentist | 1701 Beaucastel Rd Ste A, Mount Pleasant, SC 29464-3685 | 2018-10-23 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
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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.