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WATERTOWN PEDIATRIC DENTISTRY PLLC
NPI 1659252104
Dentist - Pediatric Dentistry in Watertown, NY

Active since September 10, 2025
22645 SUMMIT DR, WATERTOWN, NY 13601(315) 221-4044 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Watertown Pediatric Dentistry Pllc NPPES

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

WATERTOWN PEDIATRIC DENTISTRY PLLC (NPI 1659252104) is a healthcare organization registered as a pediatric dentistry in Watertown, New York and active in the NPI registry since September 2025. The organization lists Jessica Beuttenmuller, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1659252104
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWATERTOWN PEDIATRIC DENTISTRY PLLC
Location Address22645 SUMMIT DRWatertown, NY 13601-7233
Mailing Address22645 Summit DrWatertown, NY 13601-7233 · (315) 221-4044
Phone(315) 221-4044
Organization SubpartNo
Authorized OfficialJessica BeuttenmullerOffice Manager · (315) 221-4044
Enumeration DateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
✔ NPI 1659252104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
22645 SUMMIT DR, Watertown, NY 13601
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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

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 Watertown Pediatric Dentistry PLLC's NPI number?

The NPI number for Watertown Pediatric Dentistry PLLC is 1659252104. It was assigned to this organization in the NPPES registry on September 10, 2025.

Where is Watertown Pediatric Dentistry PLLC located?

Watertown Pediatric Dentistry PLLC is located at 22645 Summit Dr, Watertown, NY 13601. The listed phone number is (315) 221-4044.

What is Watertown Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Watertown Pediatric Dentistry PLLC was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.