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NPI Code Detail

MEDICARE: AMBER NICHOLE WATTS HATFIELD DMD

MEDICARE: AMBER NICHOLE WATTS HATFIELD DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist8347KY

General Provider Information

NPI Number : 1215047881
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER NICHOLE WATTS HATFIELD DMD
Provider Business Mailing Address
First Line : 894 MAN O WAR BLVD
Second Line :
City : UNION
State : KY
Zip : 41091
Country : US
Telephone Number : 502-636-5492
Fax Number : 502-636-9210
Provider Business Practice Location Address
First Line : 2333 ALEXANDRIA DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3215
Country : US
Telephone Number : 800-409-2563
Fax Number : 502-636-9210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/05/2022

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