DR. PHILLIP ANDREW WATERMAN JR. DDS, MS
NPI 1487700704
Dentist - Endodontics in Santa Rosa, CA

Q: What is Phillip Waterman's NPI number?

The NPI number for Phillip Waterman is 1487700704. It was assigned to this individual provider in the NPPES registry on January 27, 2007.

Q: What is Phillip Waterman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Waterman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 27, 2007

3748 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 546-7905(707) 546-1573 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Phillip Andrew Waterman Jr. Dds, Ms NPPES

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

DR. PHILLIP ANDREW WATERMAN JR. DDS, MS (NPI 1487700704) is an individual endodontics provider in Santa Rosa, California, licensed in California (29520) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1487700704

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. PHILLIP ANDREW WATERMAN JR.Credential: DDS, MS

Location Address3748 MONTGOMERY DRSanta Rosa, CA 95405-5215

Mailing Address3748 Montgomery DrSanta Rosa, CA 95405-5215 · (707) 546-7905 · Fax (707) 546-1573

Phone(707) 546-7905

Fax(707) 546-1573

Sole ProprietorYes

Enumeration DateJanuary 27, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1487700704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in CA · 29520

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

3748 MONTGOMERY DR, Santa Rosa, CA 95405

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Other Providers at the Same Location NPPES

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

ALIRAAD MOATTAR DDS INC

Dentist (Endodontics)

3748 MONTGOMERY DR
SANTA ROSA, CA 95405

Sonoma County (707) 546-7905

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 Phillip Waterman's NPI number?

The NPI number for Phillip Waterman is 1487700704. It was assigned to this individual provider in the NPPES registry on January 27, 2007.

Where is Phillip Waterman located?

Phillip Waterman practices at 3748 Montgomery Dr, Santa Rosa, CA 95405. The listed phone number is (707) 546-7905.

What is Phillip Waterman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Phillip Waterman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.