SAMUEL L WATTS (NPI# 1518956945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518956945 |
| Entity Type | Individual |
| Full Name | SAMUEL L WATTS |
| Credential | D.D.S |
| Practice Address |
5101 Sanderlin Ave Suite 108 Memphis TN 38117-4362 |
| Practice Telephone | 9017676320 |
| Practice Fax Number | 9017676365 |
| Mailing Telephone | 9017676320 |
| Mailing Fax Number | 9017676365 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS3115 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053851220 | Samuel Watts | Behavior Technician | 3337 Jenks Ave, Panama City, FL 32405-4246 | 2017-03-07 |
| 1376066159 | Samuel Edward Watts | Nurse Practitioner | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2017-07-24 |
| 1427147438 | Samuel M. Watts | Family Medicine | 1319 S Landrum St, Suite A, Mount Vernon, MO 65712-1910 | 2006-10-11 |
| Street Address |
5101 SANDERLIN AVE SUITE 108 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117-4362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770963746 | Ayman Al Dayeh | Dentist | 875 Union Ave, S312, Department of Orthodontics, Memphis, TN 38163 | 2015-06-04 |
| 1184869638 | Stanley Patrick Werner | Dentist | 6425 Quail Hollow Rd, Suite 201, Memphis, TN 38120 | 2008-12-12 |
| 1780722959 | Walter Cooper Sandusky IIi | Dentist | 6262 Poplar Ave, Memphis, TN 38119-4728 | 2007-02-01 |
| 1861557555 | Werner Orthodontics PC | Dentist | 6425 N Quail Hollow Rd, Suite 201, Memphis, TN 38120-1437 | 2006-12-25 |
| 1881777126 | Danny Weiss | Dentist | 5885 Ridgeway Center Pkwy, Suite 200, Memphis, TN 38120-4055 | 2006-10-23 |
| 1134214828 | Joe Lawrence Wasson | Dentist | 5575 Poplar Ave Ste 218, Memphis, TN 38119-3851 | 2006-10-04 |
| 1942224233 | James P Wiygul | Dentist | 5340 Poplar Ave, Suite #1, Memphis, TN 38119-3516 | 2006-07-27 |
| 1609351832 | Jared Moffett | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2018-10-03 |
| 1427420561 | University of Tennessee | Dentist | 875 Union Ave., Suite C303, Memphis, TN 38103-3513 | 2015-10-28 |
| 1730476268 | Quinton C. Robinson IIi, D.d.s., M.s., Pllc | Dentist | 5180 Park Ave, Suite 260, Memphis, TN 38119-3521 | 2011-07-05 |
| Find all providers in MEMPHIS | ||||
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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.