HAZARD ORTHODONTIC CLINIC
NPI 1104832757
Dentist - Orthodontics and Dentofacial Orthopedics in Hazard, KY

Active since August 01, 2006
285 BLACK GOLD BLVD, HAZARD, KY 41701(606) 439-0881(606) 439-1182 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hazard Orthodontic Clinic NPPES

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

HAZARD ORTHODONTIC CLINIC (NPI 1104832757) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Hazard, Kentucky and active in the NPI registry since August 2006. The organization lists Derek Gene Watts, President, as its authorized official.

NPPES Registry Identity

NPI1104832757
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameDEREK G. WATTS, D.M.D.,M.S.,P.S.C.
Location Address285 BLACK GOLD BLVDHazard, KY 41701-2604
Mailing Address285 Black Gold BlvdHazard, KY 41701-2604 · (606) 439-0881 · Fax (606) 439-1182
Fax(606) 439-1182
Organization SubpartNo
Authorized OfficialDerek Gene WattsPresident · (606) 439-0881
Enumeration DateAugust 1, 2006
Last NPPES UpdateFebruary 25, 2008
NPI 1104832757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in KY · 7013
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
285 BLACK GOLD BLVD, Hazard, KY 41701

Other Names 1

Doing Business AsHazard Orthodontic Clinic

Other Identifiers 1

Medicaid60070133KY

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

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

Dentist (Orthodontics and Dentofacial Orthopedics)
285 BLACK GOLD BLVD
HAZARD, KY 41701

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 Derek G. Watts, D.M.D.,m.S.,p.S.C.'s NPI number?

The NPI number for Derek G. Watts, D.M.D.,m.S.,p.S.C. is 1104832757. It was assigned to this organization in the NPPES registry on August 1, 2006. The provider is doing business as Hazard Orthodontic Clinic.

Where is Derek G. Watts, D.M.D.,m.S.,p.S.C. located?

Derek G. Watts, D.M.D.,m.S.,p.S.C. is located at 285 Black Gold Blvd, Hazard, KY 41701. The listed phone number is (606) 439-0881.

What is Derek G. Watts, D.M.D.,m.S.,p.S.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Derek G. Watts, D.M.D.,m.S.,p.S.C. was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.