Gregory Lee Watford, D.M.D.
Individual provider Active NPI General Practice Dentistry · Kings Bay, GA
NPI 1629040381 · NPPES record last updated Mar 7, 2025
Key facts
- NPI
- 1629040381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN010254 (GA)
- Practice address
- 871 Uss James Madison Rd
Kings Bay, GA 31547-2531 - Phone
- (912) 510-0679
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN010254 | GA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN010254 | GA | |
| General Practice Dentistry | 1223G0001X | DN010254 | GA | Yes |
Addresses
Primary practice location
871 Uss James Madison Rd
Kings Bay, GA 31547-2531
Mailing address
26 London Hill LN
Woodbine, GA 31569-3926
Phone (912) 510-0679
Other providers in Kings Bay, GA
- Hillary Constance Smith
- John Hugh Steely
- Kristin Sthole
- Stephanie Denise Sulewski
- Andrea M Thaxton
- Andrew Thomas Wemlinger
- Allan Whitney
- Richard Benjamin Wilhite
- Stacey Wilkins
- Ryan Matthew Woody
All providers in Kings Bay, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2025. 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.