MEDICARE: JAMEY CLAY WATSON

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	5145396-9921	UT
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	D.007436-C	AL

General Provider Information

NPI Number	:	1346307345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMEY CLAY WATSON

Provider Business Mailing Address
First Line	:	3700 BLUE SPRING RD NW STE F
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35810-3457
Country	:	US
Telephone Number	:	256-852-9994
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 BLUE SPRING RD NW STE F
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35810-3457
Country	:	US
Telephone Number	:	256-852-9994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	05/12/2025

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Directions to “ JAMEY CLAY WATSON ” Practice Location

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