is a Dental Clinic in Prospect, Kentucky. This organization is also known as sub part of Watson Psc. It is located at 10515 Meeting St, Suite 104, Prospect, KY and its contact number is 502-420-2480. The authorized person for is Dr. Kwane Mitchell Watson
who is Owner of the clinic and their contact number is 502-776-1754. Other organizations associated with this clinic are Thomas R. Vivian Dmd Pllc, Watson Psc, The primary license number for is 7483 (General Practice) in Kentucky. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
10515 Meeting St, Suite 104, Prospect, Kentucky, 40059-6523
Phone:
502-420-2480
Fax:
502-420-2891
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Kwane Mitchell Watson
Position:
Owner
Contact Number:
502-776-1754
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1912179516
Parent Organization:
Watson Psc
NPI Enumeration Date:
24 Mar, 2008
NPI Last Update On:
24 Mar, 2008
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Thomas R. Vivian Dmd Pllc
Dentistry
1649598921
Watson Psc
General Practice Dentistry
1912179516
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
7483
Kentucky
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
61900346
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10515 Meeting St, Suite 104 Prospect, Kentucky
Zip:
40059-6523
Phone Number:
502-420-2480
Fax Number:
502-420-2891
Patients can reach at 10515 Meeting St, Suite 104, Prospect, Kentucky or can call to book an appointment on 502-420-2480. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.