DR. DAMON OMAR WATSON DDS MD NPI 1417155821

NPI Information

NPI: 1417155821
Provider Name: DR. DAMON OMAR WATSON, DDS, MD
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Address: 6031 HARBOUR PARK DR
MIDLOTHIAN, VA
ZIP 23112
Phone: (804) 608-3200

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NPI Details

DR. Damon Omar Watson, DDS, MD is an oral maxillofacial surgery in Midlothian, VA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Damon Omar Watson, DDS, MD NPI is 1417155821. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6031 HARBOUR PARK DR
MIDLOTHIAN, VA
ZIP 23112-160
Phone: (804) 608-3200
Fax: (804) 608-3201

The enumeration date for this NPI number is 7/6/2007 and was last updated on 8/2/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	0401412132	VIRGINIA	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	2901018153	MICHIGAN	No
3	204E00000X	Oral & Maxillofacial Surgery		0438000245	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2901018153	OTHER	MICHIGAN	DENTAL LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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