Organization Active NPI

Curtis E. Waites, D.D.S., P.C.

  • General Practice Dentistry
  • Fort Valley, GA
National Provider Identifier
1336227271
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9487 Issued in GA
Legal business name
CURTIS E. WAITES, D.D.S., P.C.
Practice address
607 Bluebird Blvd
Fort Valley, GA 31030-5082
Phone
(478) 825-2314
Fax
(478) 825-2338
NPI assigned
Nov 1, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Curtis Eugene Waites, D.D.S.NPI 1013339175
Title
Owner/Dentist
Phone
(478) 825-2314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

607 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 825-2314

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9487 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

607 Bluebird Blvd
Fort Valley, GA 31030-5082

Mailing address

607 Bluebird Blvd
P.O. Box 717
Fort Valley, GA 31030-5082
Phone (478) 825-2314

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2012.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1336227271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BLUEBIRD BLVD",
            "address_2": "P.O. BOX 717",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310305082",
            "telephone_number": "478-825-2314",
            "fax_number": "478-825-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BLUEBIRD BLVD",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310305082",
            "telephone_number": "478-825-2314",
            "fax_number": "478-825-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS E. WAITES, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "WAITES",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "478-825-2314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Valley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.