NPI 1417155821

Damon Omar Watson, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Midlothian, VA

Practice location

Address: 6031 Harbour Park Dr, Midlothian, VA 23112-2160
Phone: (804) 608-3200
Fax: (804) 608-3201
Mailing address: 11545 a Nuckols Road, Glen Allen, VA 23059-5666

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 0438000245 (VA)

Other Oral & Maxillofacial Surgery providers in Virginia →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 0401412132 (VA)

Other Dentist providers in Virginia →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 2901018153 (MI)

Registry record

NPI: 1417155821
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2007
Record last updated: 2 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.