Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285643841 Individual Practitioner Male Practitioner

Dr. Scott A Watterson , DDS

Dentist - General Practice • Jackson, MI

Professional Overview & Biography Verified Profile Summary

Dr. Scott Watterson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Jackson, MI. Practice services are available at 1030 LAURENCE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1030 Laurence Ave
Ste 4

Jackson, MI 49202

Telephone 5177821467
Fax 5177823659
Associated Practice Facility / Clinic
🏢 Modern Orthodontics Pllc Facility NPI 1851934236

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 2901017509

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. Glenn Watterson , DDS

Dentist - General Practice

NPI 1194967844

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

9 Historical Events
📍
Updated Practice Location September 11, 2019

Registered at 1030 LAURENCE AVE, STE 4, JACKSON, MI 49202 (Tel: 5177821467)

📍
Updated Business Mailing Address September 11, 2019

Registered at 1030 LAURENCE AVE, STE 4, JACKSON, MI 49202 (Tel: 5177821467)

👤
Provider Name / Credentials Updated September 11, 2019

Recorded as SCOTT WATTERSON, DDS

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

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

📍
Updated Business Mailing Address July 08, 2007

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

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SCOTT WATTERSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2901017509 in MI)

🟢
Initial NPI Registration & Enumeration August 05, 2006

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: 1285643841
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2006
Last Update: September 11, 2019
Sole Proprietor: Yes

Mailing Address

1030 Laurence Ave, Ste 4

Jackson, MI 49202

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.