Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194967844 Individual Practitioner Male Practitioner

Dr. Glenn Richard Watterson , DDS

Dentist - General Practice • Jackson, MI

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Watterson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Jackson, MI. Practice services are available at 306 W WASHINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

306 W Washington Ave
Suite 204

Jackson, MI 492012169

Telephone 5177821467
Fax 5177823659
Associated Practice Facility / Clinic
🏢 Frederic B Slete D.d.s.,pc Facility NPI 1740379015

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
45 Specialists

Practicing in Jackson, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901009803

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Scott Watterson , DDS

Dentist - General Practice

NPI 1285643841

Doctor of Dental Surgery

Dr. Raymond Howe , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1710107206

Doctor of Dental Surgery, Master of Science

Dr. Lauren Trancik , DDS

Dentist - General Practice

NPI 1770955114

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 26, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2009

Registered at 306 W WASHINGTON AVE, SUITE 204, JACKSON, MI 492012169 (Tel: 5177821467)

📍
Updated Business Mailing Address March 26, 2009

Registered at 306 W WASHINGTON AVE, SUITE 204, JACKSON, MI 492012169 (Tel: 5177821467)

👤
Provider Name / Credentials Updated March 26, 2009

Recorded as GLENN WATTERSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2009

Dentist (License #2901009803 in MI)

🟢
Initial NPI Registration & Enumeration March 26, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194967844
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2009
Last Update: March 26, 2009
Sole Proprietor: No

Mailing Address

306 W Washington Ave, Suite 204

Jackson, MI 492012169

Phone: 5177821467

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.