Gregory Lee Watford, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN010254 Issued in GA

Practice address

871 Uss James Madison Rd
Kings Bay, GA 31547-2531

Phone

(912) 510-0679

NPI assigned

Feb 6, 2006

Last updated

Mar 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1629040381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LONDON HILL LN",
            "city": "WOODBINE",
            "state": "GA",
            "postal_code": "315693926",
            "telephone_number": "912-510-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 USS JAMES MADISON RD",
            "city": "KINGS BAY",
            "state": "GA",
            "postal_code": "315472531",
            "telephone_number": "912-510-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATFORD",
        "first_name": "GREGORY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN010254",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Constance Smith, R.D.H.,BS
• John Hugh Steely, M.D.
• Kristin Sthole, RDH
• Stephanie Denise Sulewski, NCMA
• Andrea M Thaxton, MD
• Andrew Thomas Wemlinger, IDC
• Allan Whitney, SUB IDC
• Richard Benjamin Wilhite, PA
• Stacey Wilkins, CRDH
• Ryan Matthew Woody, IDC

• General Practice Dentistry in Kings Bay, GA
• Providers in Kings Bay, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.