Provider Demographics
NPI:1003350059
Name:WATTS, YOKECA NICOLE (DMD)
Entity type:Individual
Prefix:DR
First Name:YOKECA
Middle Name:NICOLE
Last Name:WATTS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2376 CARROLLTON VILLA RICA HWY
Mailing Address - Street 2:
Mailing Address - City:VILLA RICA
Mailing Address - State:GA
Mailing Address - Zip Code:30180-4914
Mailing Address - Country:US
Mailing Address - Phone:205-563-9877
Mailing Address - Fax:
Practice Address - Street 1:1050 RICHARD D SAILORS PKWY STE 300-400
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-5228
Practice Address - Country:US
Practice Address - Phone:470-523-8240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-10
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN157181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice