John S. Waters D.D.S. P.C.
Organization Active NPI Dentist · Sandwich, IL
NPI 1477759793 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1477759793
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- JOHN S. WATERS D.D.S. P.C.
- Practice address
- 420 E Church St
Sandwich, IL 60548-2206 - Phone
- (815) 786-2146
- Fax
- (815) 786-2147
- NPI assigned
- Jun 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. John Stuart Waters, D.D.S.
- Title
- President
- Phone
- (815) 786-2146
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | IL | Yes |
Addresses
Primary practice location
420 E Church St
Sandwich, IL 60548-2206
Mailing address
420 E Church St
Sandwich, IL 60548-2206
Phone (815) 786-2146
Other providers in Sandwich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.