Genesis Dental Group Opelika PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GENESIS DENTAL GROUP OPELIKA PC

Practice address

1995 Pepperell Pkwy
Suite1
Opelika, AL 36801-5460

Phone

(334) 281-2451

Fax

(334) 281-1087

NPI assigned

Jan 10, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Forrest E Waters III, DMD

Title

Owner/Treasurer

Phone

(334) 281-2451

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie Ann Cochran, DDS

  • Dentist
  • Opelika, AL
  • NPI 1457963787
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1306382767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ZELDA CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062607",
            "telephone_number": "334-281-2451",
            "fax_number": "334-281-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 PEPPERELL PKWY",
            "address_2": "SUITE1",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015460",
            "telephone_number": "334-281-2451",
            "fax_number": "334-281-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS DENTAL GROUP OPELIKA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "FORREST",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/TREASURER",
        "authorized_official_telephone_number": "334-281-2451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garry Wright
• Leslie Gaultney, LPC
• Makayla Gay
• GD Al Oda PLLC
• GD Al Opelika PLLC
• Jessica Swanson Gentry
• Alexis M Gibbs, DMD
• Chad Edward Gibbs, DO
• Gracie Sanders Gibbs
• Tricia Allison Day Gibbs, M.D.

• General Practice Dentistry in Opelika, AL
• Providers in Opelika, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.