Provider Demographics
NPI:1700870045
Name:WATTS, DENNIS I (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:I
Last Name:WATTS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 E OLD HICKORY BLVD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-4160
Mailing Address - Country:US
Mailing Address - Phone:615-865-9355
Mailing Address - Fax:615-865-9300
Practice Address - Street 1:1031 E OLD HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-4160
Practice Address - Country:US
Practice Address - Phone:615-865-9355
Practice Address - Fax:615-865-9300
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS39741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice