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Active NPI 1780603670 Individual Practitioner Male Practitioner

Dr. Mark Douglas Watson , DDS

Dentist - General Practice • St. Paul, MN

Professional Overview & Biography Verified Profile Summary

Dr. Mark Watson, DDS is a registered healthcare professional specializing in Dentist - General Practice in St. Paul, MN. Practice services are available at 1511 PAYNE AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1511 Payne Avenue

St. Paul, MN 55130

Telephone 6517762708
Fax 6517780380

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in St. Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
18 Specialists

Practicing in St. Paul, MN (2262 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 MN MN 8539

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.

Career & Practice History Timeline

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

11 Historical Events
✅
NPI Profile Active February 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2017

Registered at 1511 PAYNE AVENUE, ST. PAUL, MN 55130 (Tel: 6517762708)

📍
Updated Business Mailing Address February 15, 2017

Registered at 1511 PAYNE AVENUE, ST. PAUL, MN 55130 (Tel: 6517762708)

👤
Provider Name / Credentials Updated February 15, 2017

Recorded as MARK WATSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2017

Dentist (License #MN 8539 in MN)

✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1511 PAYNE AVENUE, ST. PAUL, MN 55130 (Tel: 6517762708)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1511 PAYNE AVENUE, ST. PAUL, MN 55130 (Tel: 6517762708)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK WATSON, D.D.S.

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

Dentist (License #MN 8539 in MN)

🟢
Initial NPI Registration & Enumeration July 19, 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: 1780603670
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: February 15, 2017
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1511 Payne Avenue

St. Paul, MN 55130

Phone: 6517762708

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.