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Phillip Waterman, DDS, MS
NPI 1487700704 · Endodontics · Santa Rosa, CA
Phillip Waterman, DDS, MS is a Endodontics provider in Santa Rosa, CA (NPI 1487700704).
Provider details
- NPI number
- 1487700704
- Entity type
- Individual
- Primary specialty
- EndodonticsDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 29520 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3748 Montgomery Dr
Santa Rosa, CA 95405-5215
Phone: (707) 546-7905
Fax: (707) 546-1573
Street-level locationGet directions
Mailing address
3748 Montgomery Dr
Santa Rosa, CA 95405-5215
Registry dates
- Enumerated
- 2007-01-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Phillip Waterman's NPI number?
- Phillip Waterman's National Provider Identifier (NPI) is 1487700704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Waterman's specialty?
- Phillip Waterman is listed in the NPPES registry with a primary specialty of Endodontics (Dental Providers).
- Where is Phillip Waterman located?
- Phillip Waterman's practice location on file with NPPES is 3748 Montgomery Dr, Santa Rosa, CA 95405-5215.
- What is Phillip Waterman's phone number?
- The practice phone number listed in the NPPES registry for Phillip Waterman is (707) 546-7905.
- Is Phillip Waterman's NPI active?
- Yes — Phillip Waterman's NPI (1487700704) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.