OrganizationActive
Derek G. Watts, D.m.d.,m.s.,p.s.c.
NPI 1104832757 · Orthodontics and Dentofacial Orthopedics Dentistry · Hazard, KY
Provider details
- NPI number
- 1104832757
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Derek Watts, President(606) 439-0881
- License
- 7013 (KY)
Specialties & taxonomies
Dental Providers
Practice location
285 Black Gold Blvd
Hazard, KY 41701-2604
Phone: (606) 439-0881
Fax: (606) 439-1182
Approximate (ZIP-level) locationGet directions
Mailing address
285 Black Gold Blvd
Hazard, KY 41701-2604
Other names (DBA / former)
- Doing business as
- Hazard Orthodontic Clinic
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2008-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.