Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1346329893 Deactivated / Inactive NPI Male Practitioner

Dr. Terry Rayner Watson , DDS

Dentist • Syracuse, NY

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Terry Watson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 03, 2006
NPI Deactivation Date November 18, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Terry Watson, DDS was a registered Dentist practicing in Syracuse, NY. Throughout an active medical career spanning 16 years, Dr. Watson provided care at the practice location at 2105 W GENESEE ST until profile deactivation on 2022-11-18.

Practice Location & Contact Primary Location

Practice Address

2105 W Genesee St
Suite 204

Syracuse, NY 132191656

Telephone 3154685231
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Syracuse, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
50 Specialists

Practicing in Syracuse, NY (6355 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 042220-1

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Randall Stetson , LCSW

Social Worker - Clinical

NPI 1023031440

Licensed Clinical Social Worker

Angela Booker , LPN

Licensed Practical Nurse

NPI 1023321494

Licensed Practical Nurse

Sharon Trivison , LPN

Licensed Practical Nurse

NPI 1043537137

Licensed Practical Nurse

Barbara Trotter , LPN

Licensed Practical Nurse

NPI 1073877478

Licensed Practical Nurse

Joeann Haste-Bentley

Licensed Practical Nurse

NPI 1073981254
Theo Dean , RN

Registered Nurse

NPI 1104171461

Registered Nurse

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated November 18, 2022

Record deactivated on November 18, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2105 W GENESEE ST, SUITE 204, SYRACUSE, NY 132191656 (Tel: 3154685231)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7316 DARTMOOR XING, FAYETTEVILLE, NY 130662476 (Tel: 3156371630)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TERRY WATSON, DDS

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

Dentist (License #042220-1 in NY)

🟢
Initial NPI Registration & Enumeration November 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Terry Watson. Be the first to share your experience!

Sign in to leave a review for Dr. Terry Watson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1346329893
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2006
Last Update: July 08, 2007
Deactivation Date: November 18, 2022

Mailing Address

7316 Dartmoor Xing

Fayetteville, NY 130662476

Phone: 3156371630

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.