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GLENN RICHARD WATTERSON DDS
NPI 1194967844
Dentist - General Practice in Jackson, MI

Active since March 26, 2009
306 W WASHINGTON AVE, SUITE 204, JACKSON, MI 49201(517) 782-1467(517) 782-3659 Get Directions Write a Review

NPPES record last updated: March 26, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glenn Richard Watterson Dds NPPES

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

GLENN RICHARD WATTERSON DDS (NPI 1194967844) is an individual general practice provider in Jackson, Michigan, licensed in Michigan (2901009803) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1194967844
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameGLENN RICHARD WATTERSONCredential: DDS
Location Address306 W WASHINGTON AVE, SUITE 204Jackson, MI 49201-2169
Mailing Address306 W Washington Ave, Suite 204Jackson, MI 49201-2169 · (517) 782-1467 · Fax (517) 782-3659
Phone(517) 782-1467
Fax(517) 782-3659
Sole ProprietorNo
Enumeration DateMarch 26, 2009
✔ NPI 1194967844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901009803
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.
306 W WASHINGTON AVE, Jackson, MI 49201
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Other Providers at the Same Location NPPES 11

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

DR. ALLAN DALE PADBURY D.D.S.
Dentist (Periodontics)
306 W WASHINGTON AVE, 202
JACKSON, MI 49201
Jackson County (517) 784-2700
DR. HEIDI LYNN SCHEFFERLY O.D.
Optometrist
306 W WASHINGTON AVE, SUITE 104
JACKSON, MI 49201
Jackson County (517) 783-6928
DR. WILLIAM ALLAN PATCHAK DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
306 W WASHINGTON AVE, SUITE 105
JACKSON, MI 49201
Jackson County (517) 788-8340
DR. ALLAN DALE PADBURY JR. D.D.S.
Dentist (Periodontics)
306 W WASHINGTON AVE, 202
JACKSON, MI 49201
Jackson County (517) 784-2700
PADBURY AND PADBURY, D.D.S, M.S., P.C.
Dentist (Periodontics)
306 W WASHINGTON AVE, 202
JACKSON, MI 49201
Jackson County (517) 784-2700
DR. FREDERIC B. SLETE D.D.S.
Dentist (General Practice)
306 W WASHINGTON AVE, SUITE 205
JACKSON, MI 49201
Jackson County (517) 787-5055
DR. JEFFREY D HURST DDS
Dentist (General Practice)
306 W WASHINGTON AVE, SUITE 201
JACKSON, MI 49201
Jackson County (517) 784-3009
JAMES P. SERINO, O.D. P.C.
Optometrist
306 W WASHINGTON AVE, SUITE 104
JACKSON, MI 49201
Jackson County (517) 783-6928

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 Glenn Watterson's NPI number?

The NPI number for Glenn Watterson is 1194967844. It was assigned to this individual provider in the NPPES registry on March 26, 2009.

Where is Glenn Watterson located?

Glenn Watterson practices at 306 W Washington Ave Suite 204, Jackson, MI 49201. The listed phone number is (517) 782-1467.

What is Glenn Watterson'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 Glenn Watterson was last updated on March 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.