Provider Demographics
NPI:1306491444
Name:HIGGINS MANI AND WATSON VIII DDS PA
Entity type:Organization
Organization Name:HIGGINS MANI AND WATSON VIII DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-624-3309
Mailing Address - Street 1:PO BOX 7634
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-0634
Mailing Address - Country:US
Mailing Address - Phone:919-624-3309
Mailing Address - Fax:
Practice Address - Street 1:877 E GANNON AVE STE 401
Practice Address - Street 2:
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597-9445
Practice Address - Country:US
Practice Address - Phone:919-269-0103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty