NPI 1164507513 · live from the CMS NPI Registry
Watterworth Orthodontics, PA
Dentist, Orthodontics and Dentofacial Orthopedics in Portsmouth, NH. National Provider Identifier 1164507513, active.
NPI record
| NPI | 1164507513 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 230 Lafayette Rd, Bldg. D., Portsmouth, NH 03801 |
| Practice phone | 603-431-7616 |
| Enumerated | October 26, 2006 |
| Last updated | August 31, 2010 |
| Authorized official | Brad Watterworth, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.