AQUA DENTAL PC
NPI 1073785556
Dentist - General Practice in Watertown, NY

Active since March 25, 2008
1283 ARSENAL ST, WATERTOWN, NY 13601(315) 788-7888(315) 788-7833 Get Directions Write a Review

NPPES record last updated: March 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aqua Dental Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AQUA DENTAL PC (NPI 1073785556) is a healthcare organization registered as a general practice in Watertown, New York and active in the NPI registry since March 2008. The organization lists Rubina Khatoon, Owner, as its authorized official.

NPPES Registry Identity

NPI1073785556
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAQUA DENTAL PC
Location Address1283 ARSENAL STWatertown, NY 13601-2252
Mailing Address1283 Arsenal StWatertown, NY 13601-2252 · (315) 788-7888 · Fax (315) 788-7833
Fax(315) 788-7833
Organization SubpartNo
Authorized OfficialRubina KhatoonOwner · (315) 788-7888
Enumeration DateMarch 25, 2008
NPI 1073785556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 052355
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1283 ARSENAL ST, Watertown, NY 13601

Other Identifiers 2

Other1772007NY · United Concordia
Medicaid02698960NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
1283 ARSENAL ST, UNIT 5
WATERTOWN, NY 13601
Eyewear Supplier
1283 ARSENAL ST, PRICE CHOPPER PLAZA
WATERTOWN, NY 13601
Pharmacy (Community/Retail Pharmacy)
1283 ARSENAL ST
WATERTOWN, NY 13601
Pharmacist
1283 ARSENAL ST
WATERTOWN, NY 13601
Pharmacist
1283 ARSENAL ST
WATERTOWN, NY 13601
Pharmacist
1283 ARSENAL ST
WATERTOWN, NY 13601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aqua Dental PC's NPI number?

The NPI number for Aqua Dental PC is 1073785556. It was assigned to this organization in the NPPES registry on March 25, 2008.

Where is Aqua Dental PC located?

Aqua Dental PC is located at 1283 Arsenal St, Watertown, NY 13601. The listed phone number is (315) 788-7888.

What is Aqua Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Aqua Dental PC was last updated on March 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.