Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Douglas T. Watanabe, DDS

Individual provider General Practice Dentistry · NPI 1467565416

Dr. Douglas T. Watanabe, DDS is a General Practice Dentistry in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2821 N Ballas Rd Ste 140
Saint Louis, MO 63131-2321
Phone: (314) 432-5544
Fax: (314) 432-7815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 11564 (MO)

Record details

NPI number1467565416
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 16, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2821 N Ballas Rd, Suite 140, Saint Louis, MO 63131-2321

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