Earl L. Waters Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS027124L Issued in PA

Practice address

4988 Westchester Dr
Harrisburg, PA 17112-2184

Phone

(717) 265-3706

NPI assigned

Aug 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1123891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750383238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4988 WESTCHESTER DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122184",
            "telephone_number": "717-265-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4988 WESTCHESTER DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122184",
            "telephone_number": "717-265-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "EARL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-13",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS027124L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Washo
• Laura Wasilewski, PA-C
• Margery L Wasko, MD
• Michele Wasmuth
• Watching Over US Home Care LLC
• Taylor Waters, MSW, LCSW
• Christopher A. Watkins, LPC
• Kelly Sue Watkins, HIS
• Samuel Watkins, MA, LPC
• Sheryl Ann Watson, M.ED./BCBA

• Dentist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.