MEDICARE: APRIL LAUREN WATTS 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
1	122300000X	Dentist	14215906-9926	UT

General Provider Information

NPI Number	:	1447049127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL LAUREN WATTS DMD

Provider Business Mailing Address
First Line	:	9683 S ZAKRO LN
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-6064
Country	:	US
Telephone Number	:	310-507-4475
Fax Number	:

Provider Business Practice Location Address
First Line	:	8159 S 4800 W
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84088-4703
Country	:	US
Telephone Number	:	801-613-1816
Fax Number	:

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

Provider Enumeration Date	:	05/01/2025
Last Update Date	:	05/01/2025

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