Dr. Damon Omar Watson
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
6031 Harbour Park Dr
Midlothian
, Virginia 23112-2160
Dr. Damon Omar Watson
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
6031 Harbour Park Dr
Midlothian
, Virginia 23112-2160
(804) 673-5644
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Damon Omar Watson
- 11545 A Nuckols Road
- Glen Allen, VA
- Zip : 23059-5666
- Fax : (804) 673-5644
- Phone : (804) 673-8061
Second Address
- Dr. Damon Omar Watson
- 6031 Harbour Park Dr
- Midlothian, VA
- Zip : 23112-2160
- Fax : (804) 608-3201
- Phone : (804) 608-3200
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 0401412132 | VA |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 2901018153 | MI |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 0438000245 | VA |
National Provider Identifier
| NPI | 1417155821 |
|---|---|
| Provider Name | Dr. Damon Omar Watson |
| First Address | Glen Allen, VA 23059-5666 |
| Second Address | Midlothian, VA 23112-2160 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2007 |
| Last Update Date | 02/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2901018153 | DENTAL LICENSE NUMBER (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.